Host Family Agreement

Host Family's Name:*

City:*

State:*

Best phone number for us to use to contact you.*

Has your family been personally interviewed by an OCEAN representative?*

YesNo

If not, has the area representative scheduled an in-home interview with your family?

YesNo

Please provide details:

Does your family agree to provide a loving family environment and expect your new son/daughter to accept responsibilities as a true member of your family?*

YesNo

Will your family freely and willingly provide the student with room and board? (This includes providing the student with his/her own bed, as well as three square meals per day.)*

YesNo

(The student is responsible for his/her personal expenses, such as clothing, haircuts, personal hygiene items, school supplies/fees, participation in extracurricular activities, etc.)

Does your family agree to host a student without remuneration or any other sort of financial compensation?*

YesNo

Does your family agree to maintain a separate bank account and to not loan money to or accept loans from the student?*

YesNo

Do any members of your family or persons directly related to your family have a history of drug/alcohol/substance/sexual abuse, or any other habitual behavior that may endanger the student's experience in any way?*

YesNo

If yes, please explain:

Has any member of your household ever been charged with a crime?*

YesNo

If yes, please explain:

Have any members of your family or persons directly related to your family been convicted of a misdemeanor?*

YesNo

If yes, please explain:

Have any members of your family or persons directly related to your family been convicted of a felony?*

YesNo

If yes, please explain:

Has your area representative scheduled an orientation meeting with your family prior to the student's arrival in the U.S.?*

YesNo

If not, please explain:

We/I authorize OCEAN to use our/my photographs without remuneration or any other sort of financial compensation. These photographs will be used to promote and publicize the organization's programs through brochures, posters, newsletters, newspapers, websites, Internet, etc. (Please note that OCEAN will not use the photos of your home that were submitted with your application on any of its promotional materials.)*

YesNo

We/I agree to pick up the student at the airport upon his/her arrival in the host community and take him/her to the airport upon his/her departure. The student will arrive approximately one week prior to the start of school. OCEAN does its best to arrange for the student to arrive on a Saturday before 9:00 p.m. local time if at all possible. We/I understand that there are circumstances beyond OCEAN's control in which a student may not be able to arrive on a Saturday or may arrive later than 9:00 p.m. We/I also understand that once a ticket has been arranged by the student's natural parents, it cannot be changed.*

YesNo

By typing my/our signatures below, we/I certify that the interest we/I have in hosting an international exchange student is for a purely cultural experience, and that we/I have no other motives. This application has been completed with the knowledge of all family members, and it is true to the best of our/my ability. In addition, we/I agree to notify OCEAN if there are any significant changes to our/my initial application (i.e., relocation, new members to the household, change in contact information, etc.). Furthermore, we/I agree to abide by all of OCEAN's rules and regulations. Under no circumstances whatsoever will we/I interfere with OCEAN's disciplinary actions or decisions regarding the status of our/my student.

If there are two host parents in the home, both must sign this agreement.

E-Signature of host parent #1*

E-mail of host parent #1:*

example@example.com

Is there a 2nd host parent in the home?*

YesNo

E-Signature of host parent #2*

E-mail of host parent #2:*

example@example.com

Date

Once you submit this form it will return you to OCEAN"s web page which indicates that your submission was sucssesful