Orlando ShinShinim Host Family Application
We are currently accepting applications for the 2022-23 school year.
Name of Prospective Host Family
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
*
Please enter a valid phone number.
Adult One
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Name
*
First Name
Last Name
Cell Phone Number
*
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Email
*
example@example.com
Adult Two
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Chinese Simplified
Hungarian
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Czech
Italian
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Danish
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Name
First Name
Last Name
Cell Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Email
example@example.com
Please list children's names, ages, and whether they live at home. If child is away at college, please write "college."
Do others live in the home? Please include relevant information such as name, age, and gender.
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Why are you interested in hosting a ShinShin (Young Israeli Emissary)?
*
Which dates are your family open to hosting? Dates are approximate, and specific dates will be provided before you are asked to commit. Choose all that apply.
*
Beginning of September - end of January
Beginning of February - middle of June
Interested but can't commit without knowing more. Please contact me.
Please list any date-related information, conflicts, or questions here.
What are some things you like to do together as a family? This can include meals, hobbies, outings, errands, etc. This information will be used when matching ShinShinim with their families.
What is your family's typical weekly schedule? When is dinner? Who is home for dinner?
Please list when approximate bedtimes are for adults and children during the week and on weekends.
What are your community affiliations, both Jewish and secular (synagogues, schools, agencies, etc.)?
DIETARY PRACTICES -- Please choose all that apply. Your home is:
*
Strictly kosher
Kosher style
Definitely not kosher
Vegetarian
Vegan
Gluten-free
Includes someone with a serious food allergy
Other
SHABBAT PRACTICES -- Please choose all that apply. In your home:
*
We are Shomer Shabbat (strictly observant)
We do not drive on Shabbat
We do not cook on Shabbat
We do not use cell phones, TV, or other electrical devices on Shabbat
We celebrate Kabbalat Shabbat and Shabbat dinners together as a family
We attend Shabbat services on a regular basis
We spend quality time together as a family
Other
If you would like to elaborate on your Shabbat or dietary practices, please do so here.
Do you have pets?
*
Cat(s)
Dog(s)
No
Other
Does anyone in your household smoke?
*
Yes
No
Other
Has anyone in your family lived in Israel? Please explain.
Has anyone in your family visited Israel? Please provide details such as who, when, how many times, etc.
Does anyone in your family speak Hebrew?
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