Second Home Inspection

Second Home Visit

O.C.E.A.N. (Organization for Cultural Exchange Among Nations)
The U.S. Department of State requires a sponor representative other than the area representative who recruited, screened and selected the host family visit the host family's home within the first or second month following the student's placement in the home. The purpose of the second home visit is to double check the area representative's initial home inspection. The home visit representative will evaluate the cleanliness, suitability and safety of the host family's home.
Your Name*

First NameLast Name
Your Gender:*

MaleFemale
Your mailing address: *

Street Address

Street Address Line 2

CityState

Zip Code
Your Phone Number: *

Area CodePhone Number
Your e-mail address: *
example@example.com
Are you 18 years or older?*

YesNo
You, as the sponsor representative, are assigned to do a 1 time inspection at the host family's home within one or two months after the exchange student's arrival at the host family's residency. The purpose of the home inspection is to evaluate the cleanliness, suitability and safety of the host family's home.

Yes, I have the read the information above and understand my responsibilities as the home inspection representative.

	YES	NO
Is the home clean and sanitary?
Does the home feel safe to you?
Would you feel comfortable allowing your child to live in this home?

	YES	NO
Do you have any concerns about the host family's housing?
Do you have any concerns about the neighborhood?

	YES	NO
Is there a place in the room for the student to place his/her belongings?
Does the student have a quiet place to study?
Does the student have a bed of his/her own that is NOT inflatable or convertible in nature?
Does the student have reasonable access to bathroom facilities?
Does the student have unimpeded access to the outside of the home in case of a fire or similar emergencies?

Second Home Visit