Thank you for your interest in serving as a homestay host for one of WorldDenver's 2017 programs. 
WorldDenver has the following homestay needs this year:

YOUTH AMBASSADORS PROGRAM WITH ARGENTINA AND CHILE
March 22 - April 2, 2017
13 high school-aged participants + 2 adult mentors

RUSSIAN BUSINESS LEADERS
May 26 - June 19, 2017
5 young business leaders ages 21-30 

SPACE FUNDAMENTALS TRAINING PROGRAM for Lockheed Martin Space Systems Co.
July 21- 30, 2017 
16 university-aged participants from multiple countries

IRAQI YOUNG LEADERS EXCHANGE PROGRAM
August 13-27, 2017
12 high school-aged participants and 1 adult mentor
Begin
 
Personal Information for Main Contact

 
Legal First Name *

 
Legal Last Name *

 
Preferred Name *

 
Date of Birth *

 
Age *

 
Gender *


 
Country of Citizenship *

 
Current Address *

 
Permanent Phone Number *

Please include the best number on which to reach you, especially in case of an emergency.
 
Alternative Phone Number *

 
Personal Email Address
*

 
Best Way to Reach You? *


 
Name of Employer *

 
Job Title *

 
Work Address *

 
Work Telephone/Email *

 
Home Background Information

 
How did you hear about this hosting opportunity? *


 
Have you previously served as a homestay host for a WorldDenver adult or youth program? *

If yes, when and for which program(s)?
 
Have you previously served as a homestay host for other exchange programs that aren't implemented by WorldDenver (i.e. AFS, U.S. Brazil Connect, other exchange student programs)? *

If yes, when and for which program(s)?
 
Why do you wish to participate as a homestay host for one of these exchange programs? *

 
List all persons living in the household, including family members, relatives, roommates, etc. Include their name, age, and relationship to you. *

 
Indicate any foreign language background, if applicable. *

 
Have any members of your household lived, traveled, or studied abroad? If so, please list who, when, and where. *

 
Indicate religious background/affiliation. *

 
List your hobbies and interests, as well as the hobbies and interests of any other members of your household.  *

 
Describe the physical environment of your home, including the room where the participants(s) will be staying. *

 
In which 2017 program(s) are you interested? Please select all that apply. *


 
Are you available to serve as a homestay host for the entire duration of the program(s) you selected (airport arrival - airport departure)?  *


 
If no, list for which dates you are available to host:
Note: Partial hosting commitments are accepted.

 
Do you prefer to host male or female participant(s)? *


 
Do you prefer to host youth or adult participants? *


 
How many participants are you willing to host? Please keep in mind that participants of the same gender may share a bedroom, but must have separate beds. *


 
List any pets in your home.  *

 
Do you allow smoking in or around your home? *

     
 
Are you willing to accommodate any of the following dietary restrictions? *


 
Transportation Commitments for Homestay Hosts:

For Argentinian/Chilean and Iraqi Programs:
Are you able to drop off and pick up your international visitor(s) from the WorldDenver office (1089 Bannock St.) Monday - Friday? Drop offs will be between 8:00am-9:00am, pick ups will be between 5:00pm-6:00pm.*

For Russian Business Leaders and Space Fundamentals Training Program:
Participants will be responsible for their own transportation Monday - Friday, but may need occasional assistance.

**Carpool options may be available, but cannot be guaranteed, based on final homestay placements for each program.
*

 
Do you have any additional information or comments that you would like to share with us?

 
Please list two personal references unrelated to family members.

 
First Reference First and Last Name *

 
Email Address *

 
Permanent Phone or Cell Phone Number *

 
Relationship to you *

 
Second Reference First and Last Name *

 
Email Address *

 
Permanent Phone or Cell Phone Number *

 
Relationship to you *

 
By typing your name in the box below you are electronically signing the following statement: *

I agree that all of the information in this application is true and I agree to participate in a household interview and home visit prior to being selected as a host. Moreover, I and any household members over the age of 18 agree to undergo a background check. I agree that if chosen to participate, I will abide by the Homestay Host Guidelines, which will be provided by WorldDenver staff. Additionally, I agree that if selected to serve as a homestay host, I will do so as a volunteer and I will not be compensated by WorldDenver in any way.
Thank you for taking the time to fill out this form! WorldDenver staff will be in contact with you soon.

If you have any questions, please contact Gergana Kostadinova: Gergana@WorldDenver.org or 303-446-4901. 
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