2023 Host Family Application

Hands of Peace 2023 Summer Program: New or Returning Host Family Application
Thank you for your interest in being a host family for the Summer Program!

Chicago and San Diego, July 12-31, 2023

Please fill out the application below.

Instructions: Some fields require an entry; others are optional. To save your data before submitting, click the "Save" button at the bottom of each screen.

If you would like a printout of your responses, click the "Print Form" button before the "Submit" button. Please note that when you submit, you will receive a confirmation email containing all of the questions and your responses.
Donor Type - Internal only
Application Status - Internal only
Application Type - Internal only
BASIC CONTACT INFORMATION
Adult Family Member 1
First Name*
Last Name(s)*
Mobile Phone Number (Including Area Code)*
Home Phone Number (Including Area Code)
E-mail*
example@example.com
Street Address 1*
Street Address 2
City*
State*
Zip Code*
Regional Mail List - INT
Adult Family Member 2 at this address
First Name
Last Name (if different)
Mobile Phone Number (Including Area Code)
E-mail
example@example.com
Spouse Regional Mail List - INT

TRANSPORTATION INFORMATION
Would someone from your household be available to drive your guest(s) to and from program activities during the DAY? If not, please comment on possible alternative drivers (friends, relatives, et cetera).*

YesYes, but possibly with some restrictionsNo
Daytime driver - INT
Daytime alternatives*
Would someone from your household be available to drive your guest to and from program activities during the EVENING? If not, please comment on possible alternatives.*

YesYes, but possibly with some restrictionsNo
Nighttime driver - INT
Nighttime alternatives*

HOSTING EXPERIENCE
Have you been a Host Family before?*

Yes, for Hands of Peace (please list year(s) below)Yes, for another organization (please describe below)No
Previous hosting experience*
REFERENCES

Please provide 2 references below. The references must be current family acquaintances. They should know the entire family and have had a personal relationship with you for several years.
Reference 1
First and Last Name*
Phone Number (Including Area Code)*
E-mail*
example@example.com
Street Address 1*
Street Address 2
City*
State*
Zip Code*
How do you know this reference?*
Reference 2
First and Last Name*
Phone Number (Including Area Code)*
E-mail*
example@example.com
Street Address 1*
Street Address 2
City*
State*
Zip Code*
How do you know this reference?*
Hands of Peace is always interested to know why host families choose to volunteer. Please share briefly how you connected with our organization and why you are taking the important step to volunteer as a Host Family.*
Please submit a photo of your family (high resolution if possible). This will ONLY be used in our Summer Program Orientation Manual and ONLY if you are accepted into the program. The photo should have no sunglasses or hats, and it must show a clear view of everyone's face. If using your phone, photos may not upload properly. Please email your family photo to ekenward@handsofpeace.org (Chicago) or kouellette@handsofpeace.org (San Diego) if experiencing difficulties uploading.
Other comments or requests?
Thank you for completing this application! A staff member will contact you to set up an interview and discuss next steps. We look forward to welcoming you to the host family community.
By submitting this form, you are granting: Hands Of Peace, 1000 Elm St, Glenview, IL, 60025 United States, http://www.handsofpeace.org/ permission to email you. You can revoke permission to mail to your email address at any time using the SafeUnsubscribe® link, found at the bottom of every email. We take your privacy seriously (to see for yourself, please read our Email Privacy Policy). Emails are serviced by Constant Contact.
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REFERENCES