Host Family Registration – Athletes

Host Family Profile & Registration (Athlete Program)

Should you have any questions regarding Hosting or the Registration process, please feel free to text Beth McMahon at 954.650.3668.

Applicant/Spouse

Applicant First Name / Last Name: Spouse First Name / Last Name:
Applicant Date of Birth:
(dd/mm/yyyy)
Spouse Date of Birth:
(dd/mm/yyyy)
Residence Type: Bedrooms 
Home Address (complete):
Guard Gated Community? Community Fitness Center (or within walking/biking distance)?
Applicant’s Native Language: Spouse’s Native Language:
Primary Language Spoken in your Home:
Applicant’s Cell Phone: Spouse’s Cell Phone:
Applicant’s Email: Spouse’s Email:
Applicant’s Employer:
Occupation: Work Phone:
Spouse’s Employer:
Occupation: Work Phone:
Applicant / Spouse’s Facebook URL: Applicant / Spouse’s Skype Account Name:

Please provide the following information for other family members / persons living in your home:

Adult First Name / Last Name : Date of Birth
(dd/mm/yyyy)
Employer: Relationship to Host Family Applicant:
Occupation: Work Phone:
Adult First Name / Last Name : Date of Birth
(dd/mm/yyyy)
Employer: Relationship to Host Family Applicant:
Occupation: Work Phone:
Child First Name / Last Name : Date of Birth
(dd/mm/yyyy)
Child First Name / Last Name : Date of Birth
(dd/mm/yyyy)
Do you have any Pets? If yes, then please provide the following information:
Type Kept
Type Kept
Does anyone in your home smoke?
Would you be able to provide transportation? Would you be willing to assist athlete if he/she would need to establish a bank account and/or purchase a cell phone?

Accommodation Details

Each athlete will require a private or shared bedroom, along with bedding, dresser, and a reliable high-speed internet service.

How many athletes can you accommodate? I / We prefer
Available Bedroom #1     Is there a TV in the bedroom?
Available Bedroom #2     Is there a TV in the bedroom?
Available Bathroom If you would host one athlete and have selected a Shared Bathroom, then what is the gender of person to be shared with?
What is the walking distance from your home to the nearest public shopping area? Is there an available parking space in the event that an athlete would have use of a car?

Please provide the following information about your family’s interests and routine:

Why would you like to host an athlete? Is there beneficial information to know about you or your family in order to make a compatible match?
Please describe yourself and / or your family’s interests: Do you regularly prepare dinner in the evening? What kind of meals do you prepare?
How will you integrate your athlete in your daily / weekly activities? How did you hear about Homestay Florida’s Athlete Program?

Please provide two character references. These must be personal, non-familial references who have known you for at least five years.

Name Phone
Name Phone
I/We acknowledge that I/We understand the importance of communicating in English if/when possible during the time that my/our athlete(s) are in our home.
I/We acknowledge that I/we, along with any other adult(s) over the age of 18 living in the home, will be required to submit to a Criminal Background Check prior to athlete placement. I/We also acknowledge that I/we will notify Homestay Florida if any adult(s) over the age of 18 moves into the home following athlete placement.
I/We acknowledge that we will be required to complete IRS form W-9 prior to athlete placement. Payment will be provided to us directly from Homestay Florida.
I/We maintain Homeowner’s Insurance or Renter’s Insurance, and I/We agree to ensure that this policy is inclusive of incidents caused by boarders.
I/We acknowledge that I/we will maintain a valid driver’s license and an active auto insurance policy.
I/We have read and understand the Host Family "Homestay Requirements," "Guardian Responsibilities," "Stipend and Conditions," and "Homestay Guidelines" website pages for hosting an athlete. I/We also understand and acknowledge that Homestay Florida is not responsible for any accidents, damages or loss incurred by us as a result of negligence of the athlete and we will negotiate this with the athlete directly.
   
Declaration
"I verify that the information on this form is true and correct to the best of my knowledge."
Electronic Signature & Date
 
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