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Homestay Interest Form
First Name
*
Last Name
*
Phone Number
*
(XXX-XXX-XXXX)
Email Address
*
Do you have a private bedroom that a student may use?
*
Yes
No
Are you willing to provide breakfast and dinner, as well as accommodate dietary food restrictions?
*
Yes
No
Do you have wifi?
*
Yes
No
Are you interested in learning about different cultures from around the world?
*
Yes
No
Are you willing to help students acclimate to family and life in the U.S.?
*
Yes
No
Are you willing to undergo a home site visit by IEC staff?
*
Yes
No
Is everyone in the household over the age of 18 willing to undergo fingerprinting and an FBI background check paid for by the IEC?
*
Yes
No
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