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  • In order to ensure your informationis submitted properly, please:

    • Gather all of the pertinent information you will need so you can complete this application in one sitting.

    • Use one of the following internet browsers: Google Chrome, Firefox, Internet Explorer.

    • Call Admissions at 561-586-8216 with any questions or concerns.

    Personal Information:  Full name as shown on government identification.

    Please list all adults and children who will reside in the home for one or more months during the student's stay.

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    Additional Family Member

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    Additional Family Member

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    Additional Family Member

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    Additional Family Member

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    Contact Information and Location Details

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    Phone Numbers: (At Least 2 required)

  • Family Environment

  • Description of Your Home

  • Describe the room where the student will sleep

  • Note: you must provide each student a 9 x 9 living space and his/her own study area.

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    Describe your rules and expectations regarding the responsibilities and behavior of the international student while in your home.

    Please Note: A Parent-Student Agreement, signed by each international student and their natural parent(s)/guardian(s), specifically prohibits driving, smokiing, and the use-of alcohol or any other illegal substances.

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    Hosting Types & History

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    I hereby verify under penalty of perjury that the statements made herin are true and correct to the best of my knowledge.  I furthermore authorize criminal background checks to be conducted for each family member over the age of 18 in my household according to the requirements of my state of residence.  I acknowledge that this application in no way guarantees the placement of a student in my home.

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