AMBASSADOR FAMILY APPLICATION

Please make sure that everyone in the household is onboard with your application. If you have any questions, send an email to Mrs. Yihung Mohs (ymohs@olgchs.org)

Namerequired

Phonerequired

Addressrequired

Emailrequired

Affiliation with Good Counsel (i.e. current family, alumni, etc.)required

I understand that the compensation is $1,000 usd a month*

Checkbox

Select Countriesrequired

Please select the countries you are interested in being paired with. Select as many as you'd like.

Suggest Countries

Please indicate countries you are interested in being paired with if you don't see it from the pick list.

Select Sports / Activitiesrequired

Please select the sports / activities you are interested in supporting. Select as many as you'd like.

Suggest Sports/Activities

Please indicate sports and/or activities you are interested in supporting if you don't see it from the pick list.

Why Are You Interested in Becoming an Ambassador Family? Describe in Details.required

Best Time For You to Visit Your Student's Country:required

Rank the following 1) Spring Break 2) Thanksgiving Break 3) Christmas Break 4) Summer Break 5) not sure. Feel free to indicate another time period.

Why are you interested in becoming a host family?required

Please rank and give detailed response to the following reasons. Feel free to add your own reasons: 1) to gain a family member from another counry 2) to learn a new culture 3) to share American way of life 4) I have a spared bedroom that can be put to use.

You will be responsible for providing a room with privacy (sharing is ok), three meals a day, transportation between school and home, and overall well being of the student:required

Please describe your abilities to support these in details. Since international students are not allowed to drive, please also list all public facilities such as bus routes, library, tennis court, biking paths, etc., within walking distance from your home.

Family Interests and Routinesrequired

List your family activities (i.e., sports, movies, etc.). Describe your regular schedule and chores, and what your expectations are for the international student. For example, laundry day, trash day, quiet time weekdays, sleep-in Sundays, weekend time "off", dinner time "together", etc.)

Language/s Spoken at Homerequired

List language/s spoken at home.

Family Dietary Restrictionsrequired

List family dietary restrictions if any. Please indicate if there are none.

Household Pets?required

List family pets. Please note if you have none.

Relevant Experiencesrequired

List relevant experiences related to hosting international students.

Please list three people who are not related to you as references:required

Please include name, phone number and email address

List all members of your household. Please include each person's age and gender.

Family Member 1 | Full Name

Gender

Age

Family Member 2 | Full Name

Gender

Age

Family Member 3 | Full Name

Gender

Age

Family Member 4 | Full Name

Gender

Age

Family Member 5 | Full Name

Gender

Age

Family Member 6 | Full Name

Gender

Age

Family Member 6 | Full Name

Gender

Age

Are you currently working with any homestay agencies? Please provide names below. If none, please note none.required

Please note that some homestay agencies have rules against hosting students outside of their agencies. Please clarify with them what you are allowed to do before you continue the process with Good Counsel.

By Checking the Button Below, You Agree to a Provide Your Social Security Number for Background Check*

Yes, I agree to provide a background check.

In-person / in-house Interview Record (to be filled out by school official)

Per the requirements of the Council on Standards of international Educational Travel, Good Counsel (or its representative) is required to conduct an in-person /in-house interview. We thank you for your cooperation in advance.