Host Family/House Application Form

Host Family Application

Fill the form below accurately indicating your potentials and suitability for the position your applying for.
Host family address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PERSONAL DATA
Has any member of your household ever been convicted of any crime?Yes No If yes, please describe: blank
Why have you decided to be a host family/house?
If you have a host dancer in mind who is it? And what is your relationship to them?
Diet
Does anyone in the family have any dietary restrictions? Yes 1 No
If yes, please describe: blank
Would you feel comfortable hosting a dancer who follows a particular dietary restriction (For example, Vegetarian, Vegan, etc)? If yes, please describe accepted restrictions:
FAMILY LANGUAGE, ACTIVITIES, & HOUSEHOLD GUIDELINES
What is the primary language spoken in your home?blanks Secondary language? blank
Describe any expectations regarding the responsibilities and behavior of the dancer while in your home (i.e. chores, curfew, etc) :
HOME DESCRIPTION
Type of home:

Other
Describe / list utilities in the home (AC, water, etc.)
Number of bathrooms
Will the dancer have their own bedroom? If no, then with whom would the share?
Any pets?
What type of pet?
Number of pets
Transportation
Would you be willing to assist the host dancer with transportation needs?
HOST FAMILY MEMBERS OVER 18
Name:

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Relationship
Job title (if applicable)
Name:

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Relationship
Job title (if applicable)
Name:

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Relationship
Job title (if applicable)
If you have any other 18+ in your household please list them bellow with their age.
Signature
Should be Empty:

Host Family Application

PERSONAL DATA

Diet

FAMILY LANGUAGE, ACTIVITIES, & HOUSEHOLD GUIDELINES

HOME DESCRIPTION

Transportation

HOST FAMILY MEMBERS OVER 18