PH International
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
 
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:
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?
If yes, please describe.
Please share any international travel experiences you or your family has had.
Do you have any pets?
If yes, what type(s) and name(s)?
HOSTING INFORMATION

Programs Interested in Hosting for:

If other, please explain.

Number of Guests you can Host:

Do you have a gender preference?

Please describe your home accommodations.

Describe primary rooms, number of bedrooms, and bathrooms.

Describe guest's space.
(i.e., shared or private bedroom/bathroom - if a shared space, with whom?)

Have you hosted international visitors before?
If yes, please describe your experience.
(Include where your guests were from.)
Have you hosted for PH International before?
If yes, who and when?

 

Do you feel financially able to host a foreign exchange participant?(Host families are asked to provide a comfortable and clean place to sleep, breakfast and dinner, minimal transportation to centralized pick-up and drop-off locations, and some weekend activities.)

 

GENERAL INFORMATION AND AGREEMENT

 

Please describe any expectations you may have regarding the responsibilities and behavior of your guest(s) while in your home. (e.g. household chores, access to refrigerator & food, computer & internet use, etc.)

 

Does anyone in the family follow any dietary restrictions?
If yes, please explain.
If yes, is your guest required to follow this dietary restriction?
Please select which of the following dietary restrictions you are amenable to hosting.
Would any member of the family have difficulty hosting someone whose religious beliefs were different than their own?
Would you be willing to voluntarily inform the exchange visitor(s) in advance of any religious affiliations of household members?
Please suggest pick-up locations that are near your home.
(Pick-up and drop-off points will be designated for host families to meet PH Staff on all program days.)
Please write an introductory paragraph that would help your guest learn more about you and your family.
Please download, print, sign and upload the forms listed below.  Click here to download the: Forms Packet.
 
  • Host Family Agreement Form
  • Host Family Reference Verification Form
  • Background Check Release Form
 
Please note, the included forms require signatures.  If you are unable to upload forms, please print, complete and send to PH International.

To access the U.S. Department of State regulations regarding host family placements, please click Here.

 

Please download, print, sign and upload your signed Forms Packet. You may also send your forms via e-mail to ivan.tabanin@ph-int.org

 

File (size) Description Action

File Size Limits - (20 Mb)
By uploading the photographs, I grant PH International (Project Harmony, Inc.) and our partners the right to exhibit, reproduce, distribute, display or otherwise use the images and names for public and promotional use without compensation or notification

Please attach photos of your family and home.

File (size) Description Action

File Size Limits - (20 Mb)
By uploading the photographs, I grant PH International (Project Harmony, Inc.) and our partners the right to exhibit, reproduce, distribute, display or otherwise use the images and names for public and promotional use without compensation or notification