Home Stay Host Questionnaire
  • Home Stay Host Questionnaire

  • I/We hosted last year and none of our contact information has changed:*
  • Residential Information

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  • What is the preferred way(s) to reach you?*

  • Matching/Fit Information

  • Which Breakthrough site is most convenient to your home by public transportation?*
  • How many teaching fellows do you think you can host this summer?*
  • Is there parking available close to your house (street or other)?*
  • Is your household smoking or non smoking?*
  • Thank you for your interest in the homestay program.  A member of the Breakthrough staff will be in contact to follow up.

     

  • Reload
  • Should be Empty: