Application to be a Host Family

Application to be a Host Family

School Break Homestay Program
Interlochen Arts Academy is seeking School Break Host Families.

Thank you for your interest in applying to be a host family. Please complete this application to indicate your interest. To submit your application, you'll also need to download and sign the Host Family Liability Agreement, and upload the signed document at the bottom of this page.

Please be aware that all adults in your home are required to sign up as Interlochen Center for the Arts volunteers, and complete our background check process.

All questions are intended to identify the best match for you and your family. By submitting this application, you agree to host a student regardless of gender, race, national origin, age, religion, sexual identity, or political background.
I am:
In accordance with Interlochen's school licensing requirements, all adults (18 and older) in my home agree to:
What is your connection to the Interlochen community?

Other
I am able to host: (for partial breaks, please select "other")

Other
If "other" is selected above, please describe your available dates:
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Individuals in the Household

Please fill out all applicable fields
Adult 1
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Adult 2
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Other adults in the household
Children in the household (names and ages)
Hosting and Home Life
How many students are you able to host?
Have you hosted students in your home before?
What language(s) do you speak at home?
If you attend religious services, will you expect your visiting student to attend services?
Do you agree to take your visiting student to their religious service of choice?
Does anyone smoke in your home?
Do you have any household pets?
Tell us about your parenting style:
How would you describe your parenting/caregiving style?
I expect my visiting student to be:
Please explain:
Do you have a curfew or an expected bedtime? What are those?
Are electronics in the home free to use at any time? What about books/board games/toys? (describe limitations)
I expect my visiting student to: (check all that apply)
My family goes to bed: (check all that apply)
My family wakes up:
Food and meals:
At my home, for breakfast we usually: (check all that apply)
Please explain:
At my home, for lunch we usually: (check all that apply)
Please explain:
At my home, we usually eat dinner: (check all that apply)
Please explain:
Can your family accommodate various food limitations, such as allergies, kosher, vegetarian?
Housing Questions:
During break, my family will be: (check all that apply)
The visiting student will have: (please check all that apply)
Who will they share a bedroom with?
Who will they share a bathroom with?
Please explain:
My home has: (please check all that apply)
Describe the type of piano in your home:
Please add any other information you believe would be helpful in matching your family with a visiting student.
All students are fully vaccinated for COVID-19. Please acknowledge that all vaccine-eligible family members have been vaccinated.
Please fill out and sign the waiver found here, and attach below.
Please attach the signed Host Family Liability Agreement

Browse Files

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There may be stipends available for host families. Please email kalyn.rabuse@interlochen.org with any questions or for more details.
Should be Empty:

Application to be a Host Family

Individuals in the Household

Hosting and Home Life