2022 GHS-Rosenheim Visitors Host Family Application

Please be honest as you answer these questions. The more information we have, the easier our decisions as we make partner matches.


Questions 1 - 21 can be answered on your own. The remaining questions should be answered with at least one parent present. Note that this questionnaire will time out after a certain amount of time has passed, so plan to complete it all at once. You'll probably need 15 to 20 minutes to complete it.
Name: 


A red asterisk (*) indicates required questions.

  1. Your birthdate*


  1. Names of Parents/Guardians*


  1. Address (please include your city and zip code!)*


  1. YOUR Email address (include more than one if you wish, separated by a comma)*


  1. PARENT Email address (include more than one if you wish, separated by a comma)*


  1. Phone Numbers (include home and cell)*


  1. FOR THE STUDENT: Three words I would use to describe myself:*


  1. FOR THE STUDENT: Three words my parents would use to describe me:*


  1. FOR THE STUDENT: Three words my friends would use to describe me:*


  1. FOR THE STUDENT: Three words my teachers would use to describe me:*


  1. FOR THE STUDENT: Three possessions I cannot live without:*


  1. The next few questions deal with the personal interests, habits and preferences of you and your family.

    Remember: in even the most compatible family situations, the daily requirements of sharing and cooperating can be difficult. Cultural differences can add to the difficulty. Keep in mind that your honesty and frankness will aid in your host family placement.

    *
    I have read the above and will answer the following questions honestly.
    I have read the above and will answer the following questions honestly.


  1. What do you do in your free time?*


  1. Sports (recreational or school) -- which ones?*


  1. Outdoor activities (specify)*


  1. Other extracurricular activities (specify below by marking how often you do these)*

            1 2 3      
      Listen to music Never Often  
      Watch TV Never Often  
      Go shopping Never Often  
      Go to concerts Never Often  
      Go to movies Never Often  
      Go to parties Never Often  
      Visit friends Never Often  
      Entertain friends Never Often  
      Arts and crafts Never Often  


  1. Do you have a part time job? Describe where you work and how many hours you work each week.*


  1. List any special interests/ hobbies not previously mentioned.*


  1. Which option best describes your preference?  *


  1. Do you follow a special diet? (vegetarian, kosher, etc.)? If so, please describe.
    *


  1. Is there any other information that would be helpful in placing an exchange student with you? *


  1. This next section deals with your family information and habits. Please DO NOT complete this alone. Instead, have your family members close by for their input. Click "yes" when you're all near the computer or device on which you're completing this questionnaire and are ready to go on.
    *
    Yes
    No


  1. Please give the names, ages and relationships to the student of all people (AND PETS!!!) in your household.

    *


  1. Please indicate which, if any, family members will not be at home during the visit of the foreign student.*


  1. Please check any of the following which describe your family:*
    easygoing
    communicative
    serious; quiet
    strict
    liberal
    individually oriented
    family oriented
    close-knit
    religious


  1. Please indicate below how often your family is involved in the following activities: *

            1 2 3      
      Attend sports Never Often  
      Attend cultural events Never Often  
      Play games Never Often  
      Eat dinner together Never Often  
      Play music Never Often  
      Have family discussions Never Often  
      Travel together Never Often  


  1. This next section deals primarily with your parents. Hand your laptop to them or get out of the chair at the desktop and click "yes" when your parent/guardian is ready to answer these questions.*
    Yes
    No


  1. PARENTS’ INTERESTS
    Please list any special interests, as well as any clubs, organizations, sport groups, committees, etc. in which you are involved.
    *


  1. Parents' Occupation(s) *


  1. Do your children have a curfew?*
    Yes
    No


  1. If you answered "yes" above, what time is curfew on weeknights?*


  1. If you answered "yes" above, what time is curfew on weekends?*


  1. Do you allow your children to drive?*
    Yes
    No


  1. Are there any smokers in your household?*
    Yes
    No


  1. Does your family follow a special diet (vegetarian, kosher, etc.) which would be important for a prospective guest to know ahead of time? If YES, please describe.


  1. Has anyone in your family lived, traveled, or studied abroad? If so, please describe. *


  1. What language is spoken at home? *


  1. Do you or any of your family members speak and/or understand any foreign language? How long have you studied this language? *


  1. Please share below any other information that would be helpful in placing a foreign student in your family.
    *





Frau Havas
Greendale High School
Greendale, WI