What local church do you attend?
Occupation and Educations - This information helps us match hosts and students with similar professional or academic goals when possible
About you - hobbies/interests, community/organizations, etc.
Would you be more comfortable with male or female student?
Are you interested in adopting more than one student?
Do you have any pets? If so, what kind?
Does your household have any restrictions due to COVID? If so, please explain.
Name of Spouse/Housemate(s)
Occupation and Educations of Spouse/Housemate(s)
Name(s) and Age(s) of Children Living at Home
Name(s) and Age(s) of Children not living at home
Personal References - Please provide information for two personal references. One reference must be a church pastor/leader.
Reference 1 First Name
Reference 1 Last Name
Reference 1 Phone Number
Reference 1 Email
Reference 2 First Name
Reference 2 Last Name
Reference 2 Phone Number
Reference 2 Email
Completed Code of Conduct Form
Completed Responsibility Contract
Are you willing to complete and pay for a background check for each person in your household 18 years old and over?
Any other information you would like to share?