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Home
Host Family Application
Indicates required field
First Name
Last Name
Birth Date
Occupation
Email
Address Line 1
Address Line 2
City
State
Do you have a spouse?
- Select -
Yes
No
Spouse Information
Spouse First Name
Spouse Last Name
Spouse Birth Date
Spouse Occupation
Spouse Phone
Are there other adults living in your home?
- Select -
Yes
No
Please list the other adults living in your home:
Use one line per person and list their information as "First Name Last Name, Age, Relationship"
Are there people under the age of 18 living in your home?
- Select -
Yes
No
Please list the children living in your home:
Use one line per person and list their information as "First Name Last Name, Age, Relationship"
Personal Interests and Hobbies
Do you enjoy listening to music?
Often
Sometimes
Never
Do you enjoy outdoor activities?
Often
Sometimes
Never
Do you enjoy playing sports?
Often
Sometimes
Never
Do you enjoy watching sports?
Often
Sometimes
Never
Do you enjoy talking with friends?
Often
Sometimes
Never
Do you enjoy traveling?
Often
Sometimes
Never
Do you play a music instrument?
Often
Sometimes
Never
Do you enjoy reading books?
Often
Sometimes
Never
Do you enjoy watching television?
Often
Sometimes
Never
Do you enjoy religious activities?
Often
Sometimes
Never
Do you enjoy going shopping?
Often
Sometimes
Never
Do you enjoy watching movies?
Often
Sometimes
Never
List anything else you would like us to know about your home and its inhabitants:
Personal Family Information
Religious Affiliation (if any):
Please list all countries you have visited:
Which languages do you speak?
Hosting Preferences
Number of students you can host:
- None -
None
1
2
3
4
Gender preference?
Smoking policy?
- Select -
Yes, a student may smoke outside the home.
No, we will not host a student who smokes.
Any other requests?
Do you have pets?
- Select -
Yes
No
Household Pet Information
Use one line per pet type and list their information as "Number of pet type Indoor or Outdoor Type of Pet"
Transportation and Accessibility
Distance from UO
Closest Bus Route
Distance to nearest bus stop:
Approximate time to campus by bus:
Approximate time to campus walking:
Why would you like to be a host family?
Please let us know what interests you about having international students living in your house.
Policy Agreement
The host’s primary reason for hosting a student is to offer a safe, friendly, and welcoming environment for the purpose of cross-cultural exchange (rather than monetary gain). The host(s) has read the AEI Homestay Guidelines and agrees to follow the stated standards and recommendations. Among other things, the host(s) understands that discrimination and harassment, including sex or gender-based harassment, is strictly prohibited, and the host(s) agrees to report any such prohibited conduct immediately to AEI.
The host’s primary reason for hosting a student is to offer a safe, friendly, and welcoming environment for the purpose of cross-cultural exchange (rather than monetary gain). The host(s) has read the AEI Homestay Guidelines and agrees to follow the stated standards and recommendations. Among other things, the host(s) understands that discrimination and harassment, including sex or gender-based harassment, is strictly prohibited, and the host(s) agrees to report any such prohibited conduct immediately to AEI.
The AEI wishes to clarify that completion of this application does not guarantee student placement in the home (as enrollment and homestay needs vary) and the AEI is not able to guarantee that there will be a replacement in a given home once a student moves on.
The AEI wishes to clarify that completion of this application does not guarantee student placement in the home (as enrollment and homestay needs vary) and the AEI is not able to guarantee that there will be a replacement in a given home once a student moves on.
Special sponsored group program arrangements may differ.
The hosts explicitly consent to complete a University of Oregon administered criminal history background check on behalf of her/himself and all residents in the home over the age of 18.
Digital Signature
Agree to the policy above by entering your full name.
