University of Hawai'i at Hilo
HOST FAMILY INFORMATION FORM
Thank you for your interest in hosting an international student from UH Hilo. We appreciate your
willingness to share your aloha and provide an opportunity for a visitor to experience life outside of
campus. The purpose of this form is to gather information about your interests so that we can try to
match you with students with similar interest.
Name:
Phone Number: (Home)
(Cell)
Email Address:
Are you interested in hosting a student from a particular country/region?
No preference
Yes, from (list country/region):
Do you speak any languages other than English?
No
Yes (list languages):
Approximately how often would you like to host a student in your home?
Once or twice a semester
More than a couple times a semester
Are you interested in hosting more than one student at a time?
No
Yes
Are you interested in hosting a student for occasional overnight stays or just for a day?
Just for a day at a time
Overnight stays are OK
Do you have children at home?
No
Yes (list ages):
Do you have any pets at home?
No
List interests and activities you enjoy:
Going to the beach
Hiking
Church activities
Barbeques, potlucks
Sightseeing around the island
Attending special events (e.g., bon dances, concerts, plays)
Sports (please list):
Other (please list:)
Anything else you would like to add or let us know?
Please return this form to:
Jim Mellon
UH Hilo International Student Services
200 W. Kawili St., Hilo, HI 96720.
Phone: (808)974-7313. Fax: (808)974-7691. Email: [email protected]
Yes