Name
*
First Name
Last Name
Gender
*
Date of birth
*
MM
DD
YYYY
Occupation
Employer
Email Address
*
Primary Phone Number
*
Secondary Phone Number
Mailing Address
*
Marital Status
*
First name of spouse/partner:
Last Name of Spouse or Partner
Spouse/Partner Birthdate
MM
DD
YYYY
Spouse/Partner Email Address
Spouse/Partner Employer
Spouse/Partner Occupation
Do you have children?
*
If yes, do your children live at home?
Children's names and ages
Is there anyone else who shares your household? (E.g. other relatives, host students, or roommates):
*
If yes, please provide the names of the other members of your household, their email address, and their relationship to you:
Do you have pets?
*
If yes, please describe your pets.
What type of volunteer opportunities are you primarily interested in?
*
Please select all that apply
Home Address (if different from mailing address)
Is your home near a bus stop that goes to U district
Approximate travel time to U district
What higher education institutions (not including UW Seattle) are you near?
Select all that apply
If other: please specify
Please describe room(s) in which hosted international visitors would stay (for overnight homestay only):
Could you accommodate more than one student at a time?
How many students could you host?
Are you able to accomodate a couple?
Are you able to accomodate a family?
Do you smoke?
Will you be willing to host a smoker if they smoke outside?
Hosting Preferences
If you have preferences for the type of student you are looking to host in terms of gender, age, level of study, or country of origin, please let us know.
Please tell us a little bit about why you would like to host an international visitor:
*
What sorts of activities, interests, hobbies do you and members of your household enjoy?
This information helps us to match you with an international visitor who shares your interests, when possible.
Please tell us about your international experience. FIUTS welcomes people with a wide range of experiences!
Do you have any dietary restrictions, and/or are you able to accomodate dietary habits or restrictions of international visitors?
Please list two personal references.
Reference 1
First Name
Last Name
Email
Phone
(###)
###
####
Reference 2
First Name
Last Name
Email
Phone
(###)
###
####
Code of Ethics Anti-Discrimination Policy
*
As an organization, FIUTS does not discriminate in regard to race, color, creed, religion, national origin, gender, sexual orientation, age, marital status, or disability. Are you able to abide by this policy?
Code of Ethics Regarding Proselytizing
*
FIUTS code of ethics requires us to clarify that surreptitious, deceptive or coercive proselytizing is unacceptable. Do you feel you could abide by this policy?
Do you have any expectation of an international student's participation in your household's religious activities?
*
If so, please describe.
Please tell us how you heard about FIUTS:
*
Do you have any additional comments or questions for us?
