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* 1. What is your name (please put first name first, then last name)?

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* 2. What is your street address, including city and zip code?

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* 3. For each adult in the home, please enter the telephone number(s), with the preferred number first. Please indicate whether each number is a cell, home, or work number. For example:
Daphne Fox: 406-539-9159 cell

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* 4. Please list the preferred email address for each adult member of the household (please indicate the owner of the email next to each entry). For instance, Daphne Fox: mysteriousfoxes@gmail.com

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* 5. Please list everyone living in your home, including their gender, age, and relationship to you. Make sure you include yourself! For example:

Daphne Fox, Female, 60, self
Aria, 5, granddaughter

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* 6. Are you or anyone in your home currently employed? If so, where?

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* 7. Have you hosted international guests in your home in the past?

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* 8. If you answered 'yes' to the previous question, please list the program or circumstances under which you have previously hosted.

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* 9. How did you hear about hosting opportunities through Montana Homestay?

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* 10. Are you willing to host males, females, or either?

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* 11. What age guests are you willing to host (check all that apply)?

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* 12. For what length of time are you willing to host guests (check all that apply)?

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* 13. International programs typically take place on the MSU campus. International guests placed with host famiies may walk, take the bus, or be driven by their hosts to and from campus. Given the location of your home, which of the following modes of transportation will be available to your guests? Check all that apply.

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* 14. Do any residents of your home smoke indoors?

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* 15. Do you allow smoking (this question does not pertain to guests under the age of 21)?

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* 16. Do you allow alcohol to be consumed by persons over 21 in your home?

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* 17. Do you have pets living inside your home (check all that apply)?

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* 18. If you have one or more pets living inside your home, please describe them (age, size, personality/disposition, etc.) For example:
Charlie, Dog, 7 years old, 10 pounds, very social

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* 19. What type of dwelling do you live in?

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* 20. Can you provide your guest with a private room with a bed, dresser, closet, linens, towels, and access to a desk to use during their stay?

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* 21. If you answered 'no' to the previous question, please explain.

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* 22. How many guest rooms do you have available?

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* 23. For each available guest room, list how many beds it contains. For example:
Spare Room 1 -- 2 twin beds
Spare Room 2 -- 1 queen
Spare Room 3 -- futon (this is normally my office, but can be used temporarily by a guest)

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* 24. Would the guest's bathroom be private or shared?

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* 25. Will the guest have access to wireless internet in your home?

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* 26. Part of the cultural experience that host families provide is to share the evening meal with their international guests. How often do you think you (and your family, if applicable) would have dinner together with your guest(s)?

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* 27. Our international visitors come from all over the world representing a variety of cultural and religious diversity. Our host families also represent a variety of cultural and religious beliefs and practices. Some international visitors enjoy being included in host family religious activities, while others are not comfortable with this. Would the guest(s):

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* 28. What family hobbies, interests, and activities might the guest(s) be invited to participate in?

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* 29. List any countries you and/or other residents of your home have lived in or visited.

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* 30. Please tell us anything about yourself, other residents of your home, your house/living situation, and/or your neighborhood that you would like us to know.

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* 31. If you know of anyone else who might be interested in hosting, please provide their contact information. Thank you!

Thank you so much! We look forward to working with you in the near future!

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* 32. Adult participants in our programs must agree to a criminal background check (since we work with minor children). All adults in the household must provide a valid email address and social security number to complete the necessary steps background checks and other documentation.

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