Heritage Student Foundation always welcome host families who are open-minded, understanding, responsible to take care of children.
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Heritage Student Foundation will review all application submitted and contact the applicant by email for the next registration procedure.
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Applicant's privacy is the most imporant to us. Applicant's information WILL NOT be given to anyone and NOT be public ONLY EXCEPT introduction to service requesting students or parents.
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If the information given below turns out to be fraud or incorrect after a student introduced, the homestay service may be canceled or suspended and applicant%rsquo;s membership may be revoked.
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| First Name |
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Last Name |
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(Use the registered name on driver license) |
| Sex: |
Male
Female |
| Date of Birth |
,
,
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| Street Address |
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| City |
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State |
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| Zip or Postal Code |
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| 1st Phone |
(ex:123-456-1111) |
2nd Phone |
(ex:123-456-1111) |
| Email |
(ex: abcd@hotmail.com)
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| 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
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The 1st year of residence in the US or Canada
(ex:1980)
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| Level of Education |
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Name of Final School |
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| Religion |
Specify "Others" |
| Current Occupation |
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| Level of English |
Native
Advanced
Intermediate
Beginner
No Communication |
Primary Language
at Home
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Secondary Language
(If any)
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| Homestay Experience |
| Desired
Student Sex |
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Desired Student
Grade Group |
Select every prefered grade groups.
Kindergarten
1st ~ 3rd
4th ~ 5th
6th ~ 8th
9th ~ 12th ;
Undergrad
Graduate
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| Marrital Status : |
Married
Single
Divorced
Widowed (Single)
Separated
In a case spouse live in different location, please still fill out information of spouse below. |
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| First Name |
|
Last Name |
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| |
(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)
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| Living in |
in current address
in a different location |
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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 |
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Relation
Specify "Others" |
| |
Date of Birth
,
,
Living in
Current Address
A Different Location |
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| 2 |
Sex |
First Name
Last Name |
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Relation
Specify "Others" |
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Date of Birth
,
,
Living in
Current Address
A Different Location |
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| 3 |
Sex |
First Name
Last Name |
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Relation
Specify "Others" |
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Date of Birth
,
,
Living in
Current Address
A Different Location |
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| 4 |
Sex |
First Name
Last Name |
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Relation
Specify "Others" |
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Date of Birth
,
,
Living in
Current Address
A Different Location |
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| 5 |
Sex |
First Name
Last Name |
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Relation
Specify "Others" |
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Date of Birth
,
,
Living in
Current Address
A Different Location |
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| 6 |
Sex |
First Name
Last Name |
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Relation
Specify "Others" |
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Date of Birth
,
,
Living in
Current Address
A Different Location |
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| Ownership of House: |
Own
Rent |
| Type of House: |
Single House
Town House
Condominium or Apartment |
| Bedroom: |
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Bathroom: |
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| Number of Cars |
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High-Speed Internet |
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| Pet 1 |
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Pet 2 |
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| Current Available Rooms |
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| 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
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| Comments |
Please leave additional comments on your family, your neighborhood, etc. (Recommended)
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How did you find
Heritage Student Foundation? |
Local Coordinator
If so, who?
Word of Mouth
Google Ad
Google Search
MSN
Yahoo
Craigslist
Facebook Ad
Facebook Marketplace
Other Web Site
Paper Newspaper
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| 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"
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