International Host Family Application

Things to remember
1. Visiting student may not be accustomed to staying in a “stranger’s” home.
2. Visiting student’s culture may include different food, daily schedules and social norms.
3. Visiting student is a teenager and may have high energy and excitement, but also can be reclusive,
moody and inconsistent.

Student Expectations
1. Student should be respectful, polite, use manners at all times, and ask for permission when unsure.
2. Student should understand there might be different expectations required at the host’s home.
3. Student is expected to know and follow household rules that may include chores such as cleaning, etc.
4. Student is expected to be tidy and clean up after himself/herself in the host family’s home.

Host Parent Expectations
1. Student will travel home with an adult family member for all extended weekends, breaks and holidays.
2. Student will not be left alone overnight with minors.
3. Student will be offered breakfast, lunch and dinner daily and given prescribed medication if applicable.
4. Student will not have access to alcohol, tobacco, illegal drugs, legal misused substances, or firearms.
5. If left alone for even a short time, the student will have access to a telephone for emergency purposes.
6. If the student becomes sick, injured, goes missing, acts inappropriately or there is a family emergency;
you are expected to contact the school immediately.
7. OSSM reserves the right to rescind the agreement to host a student and to reassign the student to
another host family without prior notice and without a stated cause. The remaining unpaid stipend will be

Ground Rules and Boundaries
A great way to begin your relationship is to set rules and boundaries, which may include:
1. What is acceptable in the kitchen – refrigerator etiquette, snack time, appliance use, and cleanup?
2. What time is the student expected to be in his/her room at night and what are normal morning hours?
3. What type of food does he/she like or dislike and any known food allergies?
4. What type of weekend schedules will occur – outings, vacations, guests, special events, etc?
5. When leaving the house alone, if permissible, what is expected – timeframes, check in/keep in contact?

Extended Weekends and Long Breaks
1. Extended weekends: September 2-5; September 30 – October 3; October 28-31; January 13-16;
February 17-21; April 14-18; May 12-15
2. Long Breaks: Thanksgiving, November 18-27; Winter December 16 – January 8; Spring, March 10-19
3. During open weekends, the student may choose to stay in the dormitory or go to the host family home.

    YesNoIf no, please explain


    Each household resident greater than 18 years of age must also sign below. Please list ages/gender of all members in the house.