LIYLS Host Family Application-- Woodgrove High School
Woodgrove will be hosting 20 international delegates as part of the 2019 Loudoun International Youth Leadership Summit.  Please read the document "Host Family Information" and complete this form if your family is interested in hosting.

Summit dates: March 30th- April 10th 2019
আপনার উন্নতি সেভ করার জন্য Google-এ সাইন-ইন করুন। আরও জানুন
Student Name *
Student Grade *
Student Cell # *
Student e-mail *
Siblings name(s) and age(s)
Parent(s) name(s) *
Parent Cell # *
Parent Work #
Parent E-mail *
Phone number
Address *
Preferred Country: (please note: we cannot guarantee your preferred choice)
নির্বাচন মুক্ত করুন
We generally try to pair students with a student of their same gender.  Generally, we have more girl hosts than girl delegates.  If necessary, would your family be OK hosting a student of the opposite gender. *
Will you be able to host for the duration of the exchange?  If no, please explain. *
Are you able to provided transportation for the duration of the week? (note: you could possibly carpool with other host families) *
Would you consider hosting two students, if necessary?   *
Do you have any pets?  If so, please describe
Are there any special dietary restrictions in your household?  If yes, please explain.
Is there anything else we should take into consideration when placing a student with your family? *
Please confirm that both parent and student have discussed this opportunity and are prepared to serve as a host parent and host sibling for the 10 days of the summit. *
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