Adopt an Airman - Host Family Interest Form
The Welcome Home to Hampton Program, a collaboration between Joint Base Langley-Eustis and the City of Hampton, connects selected community members and families with young Airmen to provide a home-away-from-home during their first enlistment in the military. It also offers individuals and families a unique opportunity to support and bond with our fine Air Force men and women, the air and space leaders of tomorrow.Complete the form below to show your interest in participating in this invaluable program now!
About the Host Family
Primary's Name
*
Mr.
Mrs.
Miss.
Misses.
Title
First Name
Last Name
Suffix
Primary's Date of Birth
*
-
Month
-
Day
Year
Spouse's Name (if applicable)
Mr.
Mrs.
Miss.
Misses.
Title
First Name
Last Name
Suffix
Spouse's Date of Birth
-
Month
-
Day
Year
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary's Employer/Occupation
*
Do you have any of the following in your home? (Check all which apply)
*
Cats
Dogs
Smokers
Young children
Teenagers
Other Pets
If you selected that you have young children/teenagers, please specify their ages below:
Do you or anyone in your family smoke?
*
Yes
No
Do you have access to the base?
*
Yes
No
How many airmen are you willing to host?
*
Airman gender preference:
*
Female
Male
No Preference
Back
Next
Contact Information
Email
*
example@example.com
Primary Phone Number
*
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Alternative Phone Number
Please enter a valid phone number.
Preferred Method of Communication:
*
Phone Call
Email
Text Message
Background Information
What is the host family's ethnicity?
*
African American
Asian / Pacific Islander
Caucasian
Hispanic
Native American
More than one race
Prefer not to answer
What is your religious affiliation?
How important is your religious affiliation when it comes to matching an airman with a host family?
Very important
Somewhat important
Not important at all
What are your family's interests (Check all that apply)
Aviation
Baseball
Basketball
Bicycles
Board games
Computer/Video Games
Cooking/Baking
Fishing/Hunting
Football
Golf
Horseback Riding
Motorbikes
Musical Instruments
Racquetball
Swimming
Tennis
TV/Movies
Watching Sports
Please list any other of your interests/activities below:
Any additional comments/desires?
Submit
Should be Empty: