Host Family Program Application for Hosts

The Host Family Program gives international students the opportunity to make new friends, experience the family life of a local Richmond family, and contribute to greater understanding of other cultures by educating Americans about their home country.

The following information will assist us in pairing host families with international students. We cannot guarantee that we will have a student for each interested family. Nor can we guarantee a student from the country or countries of your preference.

* Indicates a required field

* Name(s)

* Address

* Telephone Number:

* E-mail address:

Faculty/Staff UR Alum

UR school & class year (if applicable):

Do you speak other languages besides English?
Yes No
If yes, which ones?

Have you lived or traveled in other countries besides the United States?
Yes No
If yes, which ones?

* Are you a smoker?
Yes No

Do you have pets?
Yes No
If yes, which ones?

* Do you have children?
Yes No

* Please list your hobbies, areas of interest, and activities.

Please list your preferences for the following:

Do not have a country preference

Male Female
Do not have a gender preference

Select all that apply
Four-year undergraduate student
One-year exchange student
One-semester exchange student
Do not have a preference for length of time to host

Are you willing to host more than one student, and if so, how many?