Host Family Sign Up Host Family Sign Up Form for Host Families to complete. Name First Last Date PhoneEmail How did you hear about this program?Who lives in your home? (please include pets, too)Description of House (townhome,condo, single family residence, common areas accessible to student, private or shared bathrooms, etc.) :How many rooms are available to students in your home?Address and Major Cross Streets:Is your home near a major bus line or light rail stop?Amenities in neighborhood and community:Why would you like to be a host family?Have you ever been a host family before?YesNoHow would this experience help you to meet your personal and family goals?What is the approximate date you will be ready to begin hosting? Can you provide a comfortable place where your student can study?This would be a desk in the bedroom or a common space in your home.YesNoWould you consider a student who is an outside smoker?YesNoWould you consider both male and female students?Do you have Wi-Fi, or would you be willing to set it up if you decide to host?