Host Family Profile Form

Many thanks for your interest in serving as a host family for our hosting programs. Please fill out the form below to submit your host family profile. Our team will be in touch with you soon after receiving your information.

All the best,

PH International

Page 1

Page 2

Page 3


FAMILY INFORMATION


^* Family Name:


*^ Family Member Names & Birth Dates** (Name, 00/00/0000) (When listing children, please indicate if your children live away from home.)


*^ Street Name and Number:**

^* City:

^* State:

*^ Zip Code:**

^* Home Phone:

Work Phone:

Cell Phone #1:

Cell Phone #2:

^* Email Address #1:

Email Address #2:

^* Are you COVID vaccinated?
Yes No

*^ Professional Background:** (Please include job title and brief descriptions.)

Languages Spoken:

*^ Please list favorite recreational and leisure activities.**


*^ Are any family members involved with volunteer activities?**
Yes No

If yes, please describe.

Please share any international travel experiences you or your family has had.


*^ Do you have any pets?**	Yes No

If yes, what type(s) and name(s)?