Host Family Program | International

Family Information

First Name *

Last Name *

Address *

Personal Email *

Cell Phone

Marital Status *

Single

Married

List names and ages in immediate family who live with you and their relationship to you. *Only ages of children are required.

How did you hear about us? *

Trine Website

Trine Faculty/Staff

Friends/Family

Social Media

Church

Other

What is your field of occupation? *

Do you have a cultural preference? If so please name them:This is not guaranteed.

List hobbies and things you and your family are interested in:

Why are you interested in hosting a student?

How often do you plan to meet with the student? *

Once a week

Twice a month

Once a month

Couple of times a semester

Do you plan to have them over during holidays (fall break, Thanksgiving, Christmas, etc.) *

Yes

No

Not sure yet

Do you smoke?

Yes

No

Do you have any pets? If so, please list:

What do you hope to get from the Host Family Program?