Host Application

Heritage Student Foundation will review all applications submitted and contact the applicant if and when hosting opportunities are available in the area.

An applicant’s privacy is extremely important to us. Any information obtained from the application WILL NOT be shared or made public unless with the consent of the host.

After the student has been introduced and the information you submitted is found to be fraudulent or incorrect, the homestay service may be canceled or suspended, and the applicant’s membership revoked.

Host applicants are asked to submit digital photos of their family and home. Please check the photo submission section below to review what photos are required before proceeding to complete this form.



First Name Last Name
  (Use the registered name on driver license)
Sex:
Male Female
Date of Birth
Street Address
City State
Zip or Postal Code
1st Phone
(ex:123-456-1111)
2nd Phone
(ex:123-456-1111)
Email
(ex: abcd@hotmail.com)

Ethnicity
Asian/Pacific Islander Black White Hispanic Others  
Legal Status
US Citizen Permanent Resident Non-Immigrant with legitimate visa
Years of Residenc in the US/Canada

 The 1st year of residence in the US or Canada

(ex:1980)
Level of Education Name of Final School
Religion
Specify "Others" 
Current Occupation
Level of English
Native Advanced Intermediate Beginner No Communication
Primary Language
at Home
Secondary Language(If any)
Homestay Experience

Desired Student Sex
Desired Student
Grade Group
Select every prefered grade groups.

Kindergarten 1st ~ 3rd 4th ~ 5th 6th ~ 8th
9th ~ 12th Undergrad Graduate  


Marrital Status :
Married  Single   Divorced  Widowed (Single)   Separated



  In a case spouse live in different location, please still fill out information of spouse below.

 
First Name Last Name
  (Use the registered name on driver license)
Sex
Male  Female
Date of Birth
Ethnicity:
Asian/Pacific Islander  Black  White  Hispanic  Others
Legal Status
US/Canada Citizen Permanent Resident Non-Immigrant with legitimate visa
Years of Residenc in the US/Canada

 The 1st year of residence in the US or Canada (ex:1980)
Level of Education Name of Final School
Religion
  Specify "Others"
Current Occupation
Level of English
Native Advanced Intermediate Beginner No Communication
Primary Language at Home Secondary Language (If any)
Living in
in current address in a different location
 
Please fill out information of your children though they don't live in the address above. (ex: College dormitory)
Please fill out information of all other family member living in the address avove. (ex : Homestay Student)
1
Sex
First Name Last Name
 
Relation Specify "Others"
 
Date of Birth
Living in Current Address A Different Location
2
Sex
First Name Last Name
 
Relation Specify "Others"
 
Date of Birth
Living in Current Address A Different Location
3
Sex
First Name Last Name
 
Relation Specify "Others"
 
Date of Birth
Living in Current Address A Different Location
4
Sex
First Name Last Name
 
Relation Specify "Others"
 
Date of Birth
Living in Current Address A Different Location
5
Sex
First Name Last Name
 
Relation Specify "Others"
 
Date of Birth
Living in Current Address A Different Location
6
Sex
First Name Last Name
 
Relation Specify "Others"
 
Date of Birth
 
Living in    Current Address A Different Location
 
Ownership of House:
Own Rent
Type of House:
Single House Town House Condominium or Apartment
Bedroom: Bathroom:
Number of Cars High-Speed Internet
Pet 1 Pet 2
Current Available Rooms
 
Rides Availablity   Are you available to provide the student communting rides to/from school if school bus is not available?
  And extra rides?

No Ride Available School Commuting Rides Only
School Commuting Rides + Extra Rides
Comments   Please leave additional comments on your family, your neighborhood, etc. (Recommended)





How did you find
Heritage Student Foundation?
Local Coordinator If so, who?
Word of Mouth Google Ad Google Search MSN
Yahoo Facebook Ad Facebook Marketplace  
Craigslist Other Web Site Paper Newspaper  
Review & Confirm Please review and confirm information filled out and click check box below before you click Submit button

 "I reviewed and confirmed that above information is true and correct"