Heritage Student Foundation always welcome host families who are open-minded, understanding, responsible to take care of children.

Heritage Student Foundation will review all application submitted and contact the applicant by email for the next registration procedure.
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.
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.

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   Craigslist
Facebook Ad   Facebook Marketplace   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"


 
 
     ©2009 Heritage Student Foundation.    All Rights Reserved.