Apply to Host International Students

Name *

First Name

Last Name

Spouse Name *

First Name

Last Name

Street Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone *

Cell or Alternate Phone Number

(###)

###

####

Home Phone

(###)

###

####

Your Age Range *

under 25

35-55

over 55

Do you have any children living at home? *

Yes

No

Do you have any pets? *

Yes

No

How did you hear about the Solana Beach Host Family Organization? *

Church

Friend/relative

Volunteer involvement

Other

I'd like to host a student or scholar who is:

Male

Female

Either

I'd like to host a married couple. *

Yes

No

I'd like to host a married couple with a young child or children. *

Yes

No

I could host a vegetarian. *

Yes

No

I could host a guest with dietary restrictions. *

Yes

No

I could host a smoker. *

Yes

No

Have a preference for a particular country or countries. *

Yes

No