My place of residence can best be described as a *
How many additional individuals live in the home that are 18 years of age or older? *
How many individuals live in the home that are younger than 18 years of age? *
How many students are you willing to host? (Note: Each student you host is required to have their own bedroom) *
Student Type: Please choose the option that best describes your preference. *
Student Gender: Please choose the option that best describes your preference. *
Please list any geographic area preferences, if any, below. (Ex. Students from Spain)
Your answer
Student Compensation: Please choose the option that best describes your preference. *
Please choose the option that best describes your ability to transport the student to/from different locations. *
Always
Often
Sometimes
Never
N/A
School (School day runs 7:45am - 2:45pm)
After-school commitments (sports, clubs)
Junior Hockey practices/games
Always
Often
Sometimes
Never
N/A
School (School day runs 7:45am - 2:45pm)
After-school commitments (sports, clubs)
Junior Hockey practices/games
Please explain why you are interested in hosting a student? *
Your answer
Please describe the living situation for the student (i.e. where is the bedroom located, who is responsible for meals, will there be chores, etc.). *
Your answer
Have you hosted a student (international or junior hockey) in the past? *
Do you have a relationship with Bishop Brady in any capacity? (Select all that apply) *
Required
Statements of Consent (please select all to be considered) *
Consent
I agree to be responsible for any student I host. I will ensure they have all necessities for life and school.
I agree to a background check for myself and all other members of the household 18+.
I agree to a home check for suitability as well as routine checks to ensure the student is in a good living situation.
I agree to provide/provide access to 3 meals a day.
I understand that it is necessary for the student to be in school each day and will ensure the student is driven or has a ride to/from school each day.
I understand that Bishop Brady does not place students with host families. My name and contact information may be provided to agents seeking housing for students.
I understand that this form is to indicate my interest as a student host and does not guarantee placement. I understand placement is based on factors such as need, proximity, and fit.
By signing my name below and submitting this form, I agree to be considered as a host family option.
Consent
I agree to be responsible for any student I host. I will ensure they have all necessities for life and school.
I agree to a background check for myself and all other members of the household 18+.
I agree to a home check for suitability as well as routine checks to ensure the student is in a good living situation.
I agree to provide/provide access to 3 meals a day.
I understand that it is necessary for the student to be in school each day and will ensure the student is driven or has a ride to/from school each day.
I understand that Bishop Brady does not place students with host families. My name and contact information may be provided to agents seeking housing for students.
I understand that this form is to indicate my interest as a student host and does not guarantee placement. I understand placement is based on factors such as need, proximity, and fit.
By signing my name below and submitting this form, I agree to be considered as a host family option.
Full Name *
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bishop Brady High School. Report Abuse