Host Family References

Host Family References

OCEAN-Organization for Cultural Exchange Among Nations
Host Family's Name:*
City:*
State:*
Best phone number that we can use to contact you.*
E-mail:
example@example.com
Please provide us with three references. It is preferable to use persons that you have known for at least three years. You may NOT use relatives or an OCEAN representative as a reference.

Reference #3:*

First NameLast Name
Relationship to Your Family:*
Approximately how many years have you known this person?*
Address:

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number:*
E-mail:
example@example.com
Are you a single host parent who has no children at home?*

YesNo
If so, please provide us with the contact information for two friends and/or family members who live nearby who are able to provide the student with an additional support network for the duration of his/her stay in your home.
1st Friend/Family Member:*

First NameLast Name
Relationship to You:*
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Email
example@example.com
2nd Friend/Family Member:*

First NameLast Name
Relationship to You:*
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Email
example@example.com
Enter the message as it's shown*
Should be Empty: