Host Family Application

Gulf Coast Diplomacy invites you to join the fun in hosting an exchange student for one - two weeks. 

We routinely host two to three youth projects a year and need to place them in homes. The youths are ages 15-18 and speak English. Occasionally, we need to place their adult mentor in a separate home as well. We keep everyone busy during the work week and ask you to share your life in the evenings and weekends.

This is a fun and enriching way to explore the world outside of Florida while sharing your life with international visitors! 

Please let us know if you would like to be considered as a host family.

Sign in to Google to save your progress. Learn more
Email *
I am interested in learning more about *
Required
Please tell us how you heard about this opportunity. 

If you are a student interested in participating in one of our programs, please also let us know 1) your full name, 2) the name of your school, 3) your anticipated date of high school graduation. Students may stop here. Someone from our office will contact you. Please make sure that the email you entered above is not a school email address as we may be filtered out.
*
Requirements for Host Families
  • Provide meals and an individual bed for guests to sleep in (no futons, sofas, or air mattresses)
  • Provide a safe environment
  • Provide breakfasts and dinners during the week and all meals over the weekend
  • Provide transportation to and from a downtown Pensacola location during the week
  • Ensure no one under the age of 18 years old drives with the Youth Ambassador as a passenger
  • Be available for a home inspection before the exchange takes place
  • Agree for us to conduct background checks on anyone 18 years or older living in your household
Please respond to one of the options below: *
Preferred Email for Host Family *
Full Name(s) of Host Parent(s) *
Phone Number of Host Parent 1 *
Phone Number of Host Parent 2
Address (including zip code) *
Please list the age(s) of those in your household who are under 18 years old:

*All host siblings can receive community service hours through this exchange. If they are teens between 15-17 years old they are welcome to join activities with the exchange participants. 
*
If you host in the summer and have children or grandchildren in your home who are 15-17 years old, are they interested in participating in the leadership program alongside the exchange students? If so, how many spaces in our program should we reserve for them?
*
How many people living in your home are 18 years or older? *
For us to introduce youths into your home, our office will need to do a background check on all people living there who are 18 years or older.  Are you willing for our office to do this? *
A preliminary home inspection will be required in order for us to allow international youths to come to your home. Are you willing for our office to do this? *
Why do you want to host? *
When is the best time to call you for further information? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of gulfcoastdiplomacy.org. Report Abuse