HFAM: Host Family Application Survey

Thank you for your interest in becoming a host family for YFU Student Exchange. Hosting a student is a rewarding experience for your family and we look forward to getting to know you.

A member of our team will call you to discuss your application shortly after we review the information you provide to us below.

PLEASE NOTE: It is mandatory that all people 18 years and over (15 in some states) living in the family home hold a valid Working with Children Check (WWCC) or similar to be able to host.

This form takes an average of 8 minutes to complete.

Thank you.

Kind Regards

YFU Student Exchange

HOST PARENT INFORMATION

1.First Parent/Guardian Details

First Name

Last Name

Date of Birth

Address

City/Town

State/Territory

Post Code

Country

Email Address

Phone Number

Occupation

Working with Children Check (WWCC) or similar

Date of Issue

Date of Expiry

2.Second Parent/Guardian Details (if applicable)

First Name

Last Name

Date of Birth

Email Address

Phone Number

Occupation

Working with Children Check (WWCC) or similar

Date of Issue

Date of Expiry

OTHER PERSONS LIVING IN THE FAMILY HOME (if applicable)

3.Other Adult or Child living in the family home

First Name

Last Name

Date of Birth

Occupation

Working with Children Check (WWCC) or similar

Date of Issue

Date of Expiry

4.Other Adult or Child living in the family home

First Name

Last Name

Date of Birth

Occupation

Working with Children Check (WWCC) or similar

Date of Issue

Date of Expiry

5.Other Adult or Child living in the family home

First Name

Last Name

Date of Birth

Occupation

Working with Children Check (WWCC) or similar

Date of Issue

Date of Expiry

6.Other Adult or Child living in the family home

First Name

Last Name

Date of Birth

Occupation

Working with Children Check (WWCC) or similar

Date of Issue

Date of Expiry