International Homestay Exchange Program (Inbound Travel Application)

Travel Application

Inbound Homestay Exchange Program
Participant Information:

Please fill in your name exactly as it appears on your passport/passport application
What school do you attend?*
Participant's Name*

First NameMiddle NameLast NameSuffix
Preferred Name
Gender as it appears on your passport/passport application*

MaleFemaleX
Preferred Gender

MaleFemaleX
Participant Phone Number*
Would you like us to share your number with your exchange partner once you are matched?*

NOYES
Participant Email*
example@example.com
Photo of participant*

Please upload a clear photo of yourself facing forward
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Passport number
You will be asked to upload a photo of your passport at a later point in the application. If you do not yet have your passport, you can leave this blank for now.
Passport Country of Issue*
Date of Birth MM/DD/YYYY*

MonthDayYear
Date
Age at time of travel*
Current School Grade - (If you are a chaperone, please write "N/A")*
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Country*
Family Information
Parent/Legal Guardian (1) First & Last Name - (If you are a chaperone, please enter your emergency contact information in these fields)*

First NameMiddle NameLast NameSuffix
Parent/Legal Guardian (1) Occupation*
Parent/Legal Guardian (1) Email*
example@example.com
Parent/Legal Guardian (1) Mobile Phone*
Is there a second parent in the home? - (If you are a chaperone, please select "NO")*

NOYES
Parent/Legal Guardian (2) First & Last Name*

First NameMiddle NameLast NameSuffix
Parent/Legal Guardian (2) Occupation*
Parent/Legal Guardian (2) Email*
example@example.com
Parent/Legal Guardian (2) Mobile Phone*
Do you have siblings? (Name, relationship, age, gender) - (If you are a chaperone, you may answer, or simply write "N/A")*
Pet Information
Do you have any pets?*

NOYES
If yes, what kind? (Select all that apply)

CatsDogsFishHorseRabbitsSnakesOther petsNone
If you selected "Other pets", please explain
Do you mind if your host family has pets?*

NOYES
Are you allergic to any animals?*

NOYES
If yes, please select which animals you are allergic to

CatsDogsHorsesRabbitsOther animals
If other, please list
Personal Information
Describe your personality (select all that apply)*

ShyOutgoingOrganizedDisorganizedTalkativeQuietActiveLike to study or readWorry a lotLaid backIndependentFriendly
Hobbies / Interests (select all that apply)*

AerobicsAnimeArtBadmintonBalletBandBaseballBasketballBicyclingBowlingBoy Scouts/Girl ScoutsCampingChoir/SingingComputersCookingDancingDrama/TheaterDrawing or PaintingFishingFootball (American)Games & CardsGolfGymnasticsHikingHockeyHorseback RidingIce SkatingListening to MusicMarching BandMartial ArtsMoviesMusical InstrumentPhotographyReading/WritingRoller SkatingSailingSewingShoppingSkateboardingSkiing/SnowboardingSoccerSoftballSwimmingTennisTrack & Field/RunningVideo GamesVisiting Historic SitesVisiting MuseumsVolleyballWater-skiing
If you play a musical instrument, what instrument(s) do you play?
What clubs or activities do you do after school or in your free time?*
What do you like to do on weekends with your family or friends?*
Have you ever stayed with a host family before?*

NOYES
If yes, please explain
Is this your first time traveling without your family?*

NOYES
Is there any other important information that your host family should know about you?
School Information
Do you speak any other languages?*

YESNO
Language studied
How long have you studied other language(s)?
How would you rate your level of this language?

ExcellentGoodIntermediateBasic
What is your favorite subject in school and why?*
Dietary Information
Food preferences (select all that apply)*

Enjoy eatingEat small amountsEnjoy American foodLikes to cookEnjoy eating new foodHesitant about new food
What's your favorite meal of the day?*

BreakfastLunchDinnerAll of the aboveIt doesn't matter
Do you follow a specific or modified diet (lactose/gluten-free, vegetarian/vegan, or other)?*

NOYES
If yes, please explain and provide a list of foods you can eat
Do you have any severe food allergies such as Celiac, a severe Nut Allergy, or any other type of severe allergy?*

NOYES (If selected, you will be redirected to our severe allergy waiver once you have completed the application)
If yes, what is the name of your allergy?
Medical Information

If you have an allergy or illness that still requires treatment, provide full details of the symptoms, treatment and environmental limitations required.
I have an allergy, illness, or medical condition that requires treatment and/or medication*

NOYES
If yes, describe the allergy or illness
Do you have any medical condition that may prevent you from participating in a specific activity?*

NOYES
If yes, describe the condition and any associated limitations
Please give any additional medical information that could be helpful to your host family during your stay
How would you rate your health?*

ExcellentGoodWeak
Are you fully vaccinated against COVID-19?*

NOYES
Are you fully vaccinated against Measles (MMR)?*

NOYES
Medical Authorization
As parents of the participant/as a trip chaperone, we/I do hereby authorize the cultural exchange organization and its foreign partners to consent to any medical/surgical diagnosis, treatment, or hospital care that is advisable by and is rendered under the general supervision of a licensed physician or surgeon. We also agree that if the applicant becomes ill or incapacitated, we may take such actions considered necessary including securing medical treatment. We release the cultural exchange organization and its partners from all liability related to such actions.
I have read the medical authorization and agree to the terms & conditions*

YES
Date MM/DD/YYYY*
Signature of Parent/Guardian/Chaperone*

Clear
Additional Information Required
Photo Uploads

Please upload at least two photos that represent your family, your community, and your personality.
Photo Upload*

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Photo Upload*

Cancelof
Photo Upload

Cancelof
Photo Upload

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Photo Upload

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Letter to Host Family
Please type a letter in English addressed to your host family introducing you by describing:

1. Your everyday life

2. Your reason or motivation for participating in the program

3. Any information that could help your host family get to know you better

Start your letter with: “Dear Host Family”,
Would you like to copy and paste your letter to your host family or would you like to upload your letter as a pdf/image?*

Upload letter to host familyCopy and paste letter to host family
Letter to host family upload

Cancelof
Copy and paste letter to host family
Passport, Vaccination Card, & Additional Uploads

You MUST have a valid passport to travel
Photocopy of passport identity page

Cancelof
Photocopy of vaccination/immunization records

Cancelof
Photocopy of COVID-19 vaccination card

Cancelof
Are there any additional files you would like to share with your host family?

Cancelof
Terms & Conditions
CONDITIONS OF PARTICIPATION

The proposed program is a cultural and linguistic exchange. It is therefore necessary for participants to demonstrate curiosity and a willingness to adapt to the habits and customs of the family and the community that will welcome them. We count on each participant to act as an ambassador of their country and culture.
Hummingbird® relies on the information provided in the Travel Application when placing students and chaperones with host families. Students and chaperones are responsible for providing accurate and detailed information. Visitors should remember that these families are not paid, and must treat the families with courtesy and respect. After the students are matched, visiting students will not be allowed to request new host families. Students must be no older than 18 years of age at the time of the visit.*

I agree
There is absolutely no smoking, drinking, vaping, or drug use allowed on school premises.*

I agree
Participants must respect the rules of the host family: curfew, household chores, etc., and must respect the family's habits regarding family time and bathroom use.*

I agree
I agree to hold harmless and release all liabilities of Hummingbird Student Tours, including all claims against Hummingbird Student Tours for any injury, loss, damage, accident, delay, or expense resulting from participation in the homestay program. I hereby acknowledge, accept, and agree to the above-named terms and conditions.*

I agree
I agree to immediately contact Hummingbird Student Tours with any questions or concerns as they arise.*

I agree
I will refer to the CANCELLATION FEE SCHEDULE set forth in the trip registration portal/payment contract regarding any questions or concerns related to cancellations or refunds.*

I agree
Participants who do not respect these Terms and Conditions may be excluded from the program. In this case, the costs incurred (plane tickets, hotel, transfers, etc.) will be their responsibility.*

I agree
Is the traveling student interested in hosting if the partner school travels to their home country?*

YESNONOT SURE
Photo Release
I hereby grant permission for my student/myself to be photographed and/or recorded in connection with the homestay exchange program organized by Hummingbird Student Tours. I further authorize the photograph(s) and/or recording(s) to be utilized in promotional materials and/or social media content. I waive any right to inspect or approve the use of any photograph(s) and/or recording(s) and acknowledge and agree that the rights granted to this release are without compensation of any kind.
I agree to the photo release*

NOYES
Finalization
I/WE understand everything outlined and/or described in this Travel Application. As a Parent/Legal Guardian, I hereby give consent for my student to participate in this International Homestay Exchange Program. As a traveling student/chaperone, I hereby agree to any and all rules and expectations of me as outlined above.*

YES
Signature of Parent/Legal Guardian/Chaperone*

Clear
Signature of Participant - (If you are a chaperone, please mark and X in this box)*

Clear
Should be Empty:

Travel Application

Participant Information:

Family Information

Pet Information

Personal Information

School Information

Dietary Information

Medical Information

Medical Authorization

Additional Information Required

Photo Uploads

Letter to Host Family

Passport, Vaccination Card, & Additional Uploads

Terms & Conditions

Photo Release

Finalization