I am interested in hosting a student this summer.
Name (Please Print)
Names and ages of children at home
Address City/Town State Zip
Phone (Home)
Phone (Cell)
Do you have the ability to SKYPE? Y N NOT YET
Have you ever hosted a foreign student before? Y N
Do you prefer MALE FEMALE NO PREFERENCE
Do you prefer a certain age? ____________________
Do you speak a foreign language? __________________ (If so, what?)
Please list some of your family interests and summer activities:
If you know of other families who might like to host an exchange student, please point them to our website.
Today's Date:
Please return to: Passport Exchange 91 Main Street, Andover, MA 01810 978.475.5487
beavenandassociates.com