Pismo Beach, CA US
Host Family Application
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Short Term Programs and Camps
Meet The Team
In Home Visit
Host Family Name
Purpose of Visit
First 7 Days and Orientation
Student Move In/Out
Did you meet with the student and host separately?
Please list members of the home who were present
Please describe the condition and your impressions of the home. Are there any concerns?
How is the student's relationship with the family? Does he/she participate with the family? Please explain.
How is the student doing academically? Please explain.
Does the student participate in school sports or activities? Please explain.
Does the student socialize outside of school and the host family home? Please explain.
Did the student express any concerns or issues? If so, please explain.
Did the host family express any concerns or issues? If so, please explain.
Please list any other items discussed that need to be noted
Name of Ameristudent Rep conducting visit
Date of Home Visit
Please attach any photos from your visit
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