Step 1 of 9

Host Family Application

(*) - required fields

Placement Process

Before a placement with a student in your home can be finalized, the following steps will need to take place as of WEP-USA’s placement process:

  • Submission and processing of Host Family Application, including your signed agreement to host, reference check, criminal background checks on all family members over 18 or older, as well as photos of your home and family.
  • Submission and approval of your Criminal Background Check (CBC): you will be presented with the CBC disclaimer before you click the 'Submit' button on your Host Family Application application and will receive an email with a link to the designated CBC website to complete your secure CBC submission.
  • In-person home interview conducted by WEP-USA support coordinator, at which time additional photos may be taken if not already received and on file with your application.
  • The securing of a place for your student at the high school - obtained by WEP-USA.
  • Please note that a family receiving government assistance in the form of food stamps or subsidized housing is not eligible to host.

Select a Program

(*) Please select a program

Host Family Address

Address (*)
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City (*)
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State (*)
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ZIP (*)
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Phone (*)
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E-Mail (*)
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Preferred Arrival Airport & Code
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Host Family Members

First Parent
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Last Name
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First Name
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Birthday
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Occupation
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Employer
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Work Phone
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Cell Phone
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Second Parent
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Last Name
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First Name
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Birthday
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Occupation
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Employer
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Work Phone
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Cell Phone
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Children/Family members (not including the host parents)

Name (First Last) DOB Relation Lives at Home

Placement Information

1. Religious affiliation or preference
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2. How often do you attend services?
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3. Would you expect your student to attend services with you?
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Note: Students are encouraged to view religious institutions in the U.S. as an opportunity for cultural exchange, better understanding their host family, socializing, and as a source for volunteer opportunities. But it is against program policy for students to be proselytized to, make life-changing decisions (such as a change in religion), or to be ‘forced’ to attend religious services while they are on the program.
4. Our famly is willing to host a
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Due to our family structure and housing situation, we cannot host
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5. Will you be able to provide the student with their own room? (required for full year programs).
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If not, who will the student share the room with? How old is this host sibling?
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6. Do you have any pets?
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What kind?
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What kind?
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How Many?
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7. What is the primary language spoken in the home?
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What other languages are known by family members?
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8. Has your family ever hosted an international student?
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If yes, from which country (ies)?
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Year (s)
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Which program did you host with?
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Community Information

Description of your community
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Your City/Town/Village population
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Local Public High School Name
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Distance from Home to School
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Mode of transportation to school
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Closest largest city
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City Population
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Describe your community briefly,
as well as your neighbourhood
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Home Environment

Describe your home
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Do you rent or own your home?
Please choose one
Describe a typical weekday for your family
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Describe a typical weekend for your family
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Does anyone in your family have a dietary restriction/adhere to vegetarian diet?
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Family Details

Why are you interested to host a WEP student?
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Please describe your family’s interests, hobbies and passions
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Does any family member have a serious illness or a chronic condition?
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Has any family member received professional counseling within the past 3 years?
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If yes to either above, please write a brief explanation below:
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Has any family member ever been arrested?
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If yes, please write a brief explanation below
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Does your family own any firearms that are kept in the home?
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Are they secured?
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Please Select your Income Range
Please choose one

References


Each host family applying to host a WEP student is required to provide two references (non-relatives) from members of their community who know them well and who visited them in the home within the last year:
1. Name of the Reference: (*)
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Relationship to the Applicant:
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Years known: (*)
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Phone number: (*)
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Email:
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2. Name of the Reference: (*)
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Relationship to the Applicant:
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Years known: (*)
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Phone number: (*)
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Email:
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Required photos


As part of the placement process, the national office has to have on file the photos of your home and family. The following photos are required: Student’s bedroom, Student’s bathroom, Front of the Home, Back of the home, Living Room, Kitchen, 2 family photos (members of the family). Please identify the members in your family photo from left to right.

These may be submitted by you directly using the form below, emailed to our CT office at info@wep-usa.org (please make sure to put your family’s last name and state in the subject line) or taken by your local Support Counselor during the home interview.


Student's Bedroom



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Student's Bathroom



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Front of the House



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Back of the House



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Living Room



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Kitchen



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Members of the Family



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Members (left to right)

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Members of the Family



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Members (left to right)

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Host Famly Agreement


Our family has decided to host a student with WEP-USA, so that by sharing our lives with an international visitor, we may gain exposure to new ideas and perspectives and promote international friendship.

As a host family with WEP-USA:
  1. We will welcome our student as a member of our family and assist in our students’ adaptation to our family lifestyle as well as to the US life and culture.
  2. We will provide a safe and nurturing home environment for our student, including a bed (private room is required for full year programs), study area.
  3. We are expected to provide three meals a day that should be varied and nutritious. If a student chooses not to take a prepared lunch from home, they may purchase lunch at school at their own expense.
  4. We will read the WEP-USA Host Family Handbook, and other information to be provided in our Host Family Welcome Packet, to prepare for our student’s arrival and hosting experience. We will become familiar with WEP-USA student rules and expectations.
  5. We will help our student meet other Americans through introductions to friends, neighbors and classmates, and by encouraging our student to join clubs and sports.
  6. We will help arrange necessary transportation for our student by driving him/her, or providing access to a bicycle, a public bus or through rides with friends.
  7. We will help our student become familiar with our community and its resources such as local recreational facilities, sights, shopping areas, library.
  8. We will neither allow or encourage our student to violate WEP-USA policies, or the law, and will immediately report any such violation to our Support Counselor or WEP-USA office.
  9. We will attend and facilitate the attendance of our student at WEP-USA required programs, including his/her community orientation and re-entry meeting.
  10. We will expect contact on a monthly basis from our Support Counselor and will call him/her if issues arise in our family’s and/or student’s adjustment, or student’s school performance. If for any reason we are unable to reach our Support Counselor, we will contact WEP-USA office in Stamford, CT at 1-800-779-3319.
  11. We understand that our student has spent his/her life in a culture that may be different from our own. We will work with our student to resolve misunderstandings and to solve problems. If a problem remains unresolved, we will contact our Support Counselor.
  12. We understand that if for any reason our student needs to move out of our house, it may take two to three weeks for our Support Counselor and WEP-USA to find another family.
  13. We understand that visits with friends and relatives of the student, as well as most student travel, must be approved by WEP-USA office in advance.
  14. Should a student damage or break any item in the host family home during their stay, their parents will be asked to compensate the family where appropriate. For accidental damages over $500, the host family's household insurance will be expected to cover the cost with the student being asked to pay the deductible. While all reasonable effort will be made to remedy the situation, WEP-USA takes no responsibility for any such damages.

We have read and understood the above guidelines and agree to follow them throughout our participation as a WEP-USA host famiily.


Signature of the Host Parent
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Date
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Signature of the Host Parent
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Date
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Family Name (*)
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City (*)
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Address (*)
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State (*)
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ZIP (*)
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(*) Background check is an essential step of the hiring process. You have to agree to this step before we can proceed further.


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