International Host Interest Survey - Montana Homestay Question Title * 1. What is your name (please put first name first, then last name)? Question Title * 2. What is your street address, including city and zip code? Question Title * 3. For each adult in the home, please enter the telephone number(s), with the preferred number first. Please indicate whether each number is a cell, home, or work number. For example:Daphne Fox: 406-539-9159 cell Question Title * 4. Please list the preferred email address for each adult member of the household (please indicate the owner of the email next to each entry). For instance, Daphne Fox: mysteriousfoxes@gmail.com Question Title * 5. Please list everyone living in your home, including their gender, age, and relationship to you. Make sure you include yourself! For example: Daphne Fox, Female, 60, selfAria, 5, granddaughter Question Title * 6. Are you or anyone in your home currently employed? If so, where? Question Title * 7. Have you hosted international guests in your home in the past? yes no Question Title * 8. If you answered 'yes' to the previous question, please list the program or circumstances under which you have previously hosted. Question Title * 9. How did you hear about hosting opportunities through Montana Homestay? Question Title * 10. Are you willing to host males, females, or either? males females either Question Title * 11. What age guests are you willing to host (check all that apply)? Under 18 18 - 25 Over 25 Question Title * 12. For what length of time are you willing to host guests (check all that apply)? Up to 2 weeks 2 - 4 weeks More than 4 weeks Question Title * 13. International programs typically take place on the MSU campus. International guests placed with host famiies may walk, take the bus, or be driven by their hosts to and from campus. Given the location of your home, which of the following modes of transportation will be available to your guests? Check all that apply. My home is close enough to the MSU campus for my guests to walk My home is on/close to a Streamline bus route I/We will provide transportation to and from campus as necessary Question Title * 14. Do any residents of your home smoke indoors? yes no Question Title * 15. Do you allow smoking (this question does not pertain to guests under the age of 21)? Indoors Outdoors only Neither indoors nor outdoors Question Title * 16. Do you allow alcohol to be consumed by persons over 21 in your home? yes no Question Title * 17. Do you have pets living inside your home (check all that apply)? 1 cat 2 or more cats 1 dog 2 or more dogs No pets Other (please specify) Question Title * 18. If you have one or more pets living inside your home, please describe them (age, size, personality/disposition, etc.) For example:Charlie, Dog, 7 years old, 10 pounds, very social Question Title * 19. What type of dwelling do you live in? Detached house Duplex Townhouse Condo/apartment Question Title * 20. Can you provide your guest with a private room with a bed, dresser, closet, linens, towels, and access to a desk to use during their stay? yes no Question Title * 21. If you answered 'no' to the previous question, please explain. Question Title * 22. How many guest rooms do you have available? Question Title * 23. For each available guest room, list how many beds it contains. For example:Spare Room 1 -- 2 twin bedsSpare Room 2 -- 1 queenSpare Room 3 -- futon (this is normally my office, but can be used temporarily by a guest) Question Title * 24. Would the guest's bathroom be private or shared? Private Shared with one other person Shared with two or more other people of the same gender Shared with two or more other people of mixed genders Question Title * 25. Will the guest have access to wireless internet in your home? yes no Question Title * 26. Part of the cultural experience that host families provide is to share the evening meal with their international guests. How often do you think you (and your family, if applicable) would have dinner together with your guest(s)? Occasionally Several times weekly Most nights Question Title * 27. Our international visitors come from all over the world representing a variety of cultural and religious diversity. Our host families also represent a variety of cultural and religious beliefs and practices. Some international visitors enjoy being included in host family religious activities, while others are not comfortable with this. Would the guest(s): be invited to participate in family religious activities be expected to participate in family religious activities not applicable Question Title * 28. What family hobbies, interests, and activities might the guest(s) be invited to participate in? Question Title * 29. List any countries you and/or other residents of your home have lived in or visited. Question Title * 30. Please tell us anything about yourself, other residents of your home, your house/living situation, and/or your neighborhood that you would like us to know. Question Title * 31. If you know of anyone else who might be interested in hosting, please provide their contact information. Thank you! Thank you so much! We look forward to working with you in the near future! Question Title * 32. Adult participants in our programs must agree to a criminal background check (since we work with minor children). All adults in the household must provide a valid email address and social security number to complete the necessary steps background checks and other documentation. I, we agree to provide the necessary information to Montana Homestay/MSU. I/we do not agree to provide the necessary information to Montana Homestay. Next