Admin   If you are interested in volunteering or willing to introduce prospective host families to us, please fill out and submit the form below to us. Thank you very much for your time. God bless. • Personal Information Your name (in full) Age Birth Country Are you Baptist? Yes   No Your Address Home Phone E-mail Address Your Occupation Work Phone Name of the church you attend Church Phone Your spounse's name (in full) Age Birth Country Occupation Work Phone Your children's name (in full) Age Live at home Yes   No Other persons's name living in your home Age Relationship Language used in your home Second language, if used Name of school near your home How far is it from your home? School Phone Pets in your home Do members of your hosehold smoke? Yes   No Will the student share a bedroom? Has your family hosted a foreign student before? Yes   No If yes, what length of stay? Short term (2~6 weeks)   Semester (6 Months) School year (12 months)   more than a year Has anyone in your family been convicted of a felony? Yes   No • Referrals and References ◊ Please provide below three references who know you and your family well. (No relatives) Name (in full) Phone Number Relationship Name (in full) Phone Number Relationship Name (in full) Phone Number Relationship Can you recommend someone in your area who might be interested in this hosting opportunity? Yes   No How did you hear about this opportunity?