Exit this survey Exchange Host Family Interest Profile We're excited that you are open to the possibility of hosting a high school exchange student in the future! We work with the Pan Atlantic Foundation agency to find, place, and supervise the exchange student process from beginning to end. We understand that you might have many questions about the hosting process and we can answer those. Please provide us some basic information about you, your family and preferences to get started. Thanks! Question Title * 1. Please give us your contact information Parent Names: * Address Address 2 City / Town State -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Zip Code E-mail * Cell Phone * Question Title * 2. Do you have children? (Note: You don't HAVE to have children to host) Yes No Next