KAP Host Family Application 2024

KAP Host Family Application
Thank you for your interest in the Kanonji Appleton Partnership (KAP) Summer Exchange Program! KAP and our sister program, the Kanonji International Exchange Association (KIEA), hold a shared belief about the importance of intercultural learning using a homestay model. Through our exchange program we hope for our communities to deepen intercultural understanding and appreciation, for the citizens of Appleton to learn more about Japanese culture, and for the citizens of Kanonji to learn more about life in Appleton/Fox Cities.

By hosting for the KAP exchange program, families will:
- Become international ambassadors for Appleton/Fox Cities
- Learn about the people, culture, and language of Japan
- Build friendships that last a lifetime
KAP Exchange Program includes:
- Pre-arrival host family prepartion
- Official KAP programming (City of Appleton Day, Wisconsin Day, Timberrattlers baseball game and potluck, and farewell party)
- Informal events with other host families (e.g. trips to the mall, cookouts, movies nights)
- $50/week host family stipend
What is expected of the Japanese participant as a member of the host family:
- Act as an ambassador for Kanonji, Japan respecting the culture, customs, and habits of host family members
- Participate in family activities, dinners, and outings with host family
- Help with household chores with host family
- Share culture, language, and life experiences with household members
- Abide by host family rules, local laws, and customs
- Not use alcohol or drugs and not operate any motorized vehicles
- Attend all official KIEA events and programs
Schedule for 2024 KAP exchange

Exact dates for travel and meetings will be updated as they become available

January 2024 - Public information sessions

March-June - monthly host family prep meetings

July - Appleton/Fox Cities group in Kanonji, Japan for two weeks

July-August - Kanonji, Japan group in Appleton/Fox Cities for two weeks

Personal/Family Information
Adult/Parent Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Date
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Email*
example@example.com
Occupation*
Employer
Adult/Parent Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Date
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Email
example@example.com
Occupation
Employer
Children at Home (Gender, Age, Interests/Hobbies). Please indicate if any children have applied to travel to Kanonji this year.
Other people living in your home (Gender, Age, Relationship)
Family Pet(s)
Family Interests/Hobbies?*
When are you able to host? The exchange occurs for two weeks in late July-early August. Exact dates will be posted in spring 2024.*

Whole exchange (Two weeks from late July-early August)Week 1 (Late July-early August)Week 2 (Early August)Other
Have you hosted before?*

Yes, with a different programYes, with KAPNo
Has anyone in your family been an exchange student? If so, who, when, and where?

Expectations
As a host family we will:
Attend all host family preparation meetings.*
Initial
Prepare for the exchange by reading all information and materials provided by KAP.*
Initial
Manage our schedule to ensure that our visitor from Kanonji is never left home alone.*
Initial
Treat our visitor from Kanonji as one of the family.*
Initial
Make a conscious effort to include our visitor from Kanonji in all family activities.*
Initial
Ensure our visitor from Kanonji feels comfortable around family and friends.*
Initial
Be flexible, patient, and willing to communicate both verbally and non-verbally while hosting*
Initial
We will contact the Host Family Coordinator:
If serious behavior problems or cultural miscommunications occur.*
Initial
If our visitor from Kanonji becomes ill, injured, or needs medical care.*
Initial
If a family emergency occurs and we are no longer able to host.*
Initial
If we plan to take our visitor out of WI.*
Initial
If we plan to stay with our visitor overnight at a place other than our home.*
Initial
For the safety of all participants, a background check will be performed on all adults in the home*
Initial

Signatures
Adult/Parent 1 Signature*
Type Signature
Adult/Parent 2 Signature
Type Signature
Date

MonthDayYear
Date
Should be Empty: