CONFIDENTIAL HOST FAMILY PRE-APPLICATION

Let your local representative help you in finding that special son or daughter that matches your family. Your local representative will check new student applications as they are processed in their National Office and will assist by pre-selecting a student or students that meet your family’s interests, hobbies and lifestyle, on a first come first serve basis. Your student match will be available to you for 3 days before being offered to other families. By completing and submitting this form, you are starting your intention to host an exchange student selected by you from students matched to or selected by your family. The SEA program members will support you, your family, and your school throughout your experience.

The SEA member programs believe, together, we can make a difference.

IMPORTANT: This is the most important form needed to complete in order to find a good match for your FAMILY!
With this completed preliminary application, your local representative will work to find a student that will match with your interests, hobbies and lifestyle. He/she will then present you with profiles of students that you may review to select your new son or daughter!

NO PLACEMENT IS MADE UNTIL YOU SELECT YOUR STUDENT.The best experience in HOSTING will result from this way of selecting a student. Please use the experience of your local representative in your selection process.

PPlease check the interests that your family has

	Arts&craft	Hiking	Sewing
	Art/painting	History	Shopping
	Back packing	Hunting	Snow sports
	Baseball	Ice Hockey	Soccer
	Biking	Jogging	Swimming
	Bowing	Movies	Table Games
	Camping	Museums	Tennis
	Church Activities	Music	Theater
	Collecting	Photography	Visiting relatives
	Community Work	Picnics	Walking
	Computers	Raising Animals	Watching TV
	Cooking	Reading	Water Sking
	Family/activities	Riding horses	Woodworking
	Fishing	Sailing/boating	Writing
	Golf	School activities	Others
(Your local represntative will talk to you about any additional interest.)

Does anyone play in a Band or an Orchestra?	Yes	No
Does anyone play in competitive sport?	Yes	No
Does anyone in your family Smoke?	Yes	No	Sometimes
Would you be willing to host a student who smokes?	Yes	No	Maybe
Will student share a bedroom?	Yes	No
NOTE: A student may share a bedroom with one of the same sex and within a reasonable age difference.

Please list any children :
Boys	Age	Girls	Age

Degree of participation in church and related activities :
Religious affiliation :
Would you expect your exchange student to attend services with your family? Suggested: 1 Service a weekend and 1 Youth Group Meeting a week			Yes No
Would you provide transportation to student's religious service if different than yours?			Yes No
Would you be willing to host a student who is allergic to animals?			Yes No