Host Family Inquiry Form

Baseball. Barbeques. Birthday celebrations. Is your family ready to learn more about sharing your little corner of America by hosting a foreign exchange student from one of 70 countries?

It's easy to get started! Simply complete the Host Family Inquiry Form below to let us know how we can reach you as well as any preferences you might have about the high school exchange student you host: Are you hoping for a boy or girl? From a particular country? With particular interests?

We'll put you in touch with the PAX Community Coordinator in your area who can answer all your questions about hosting a foreign exchange student, guide you through the application process, and help you select your new family member!




Personal Information
NAME
ADDRESS
CITY
STATE ZIP
HOME TEL. WORK TEL.
FAX
EMAIL
Where did you hear about us?

 

Which program are you applying for: PAX FLEX YES

 


Preference
Please list your preferred gender and nationality

 




Enter Value Above:



To expedite your inquiry, please call or e-mail PAX to confirm that your preliminary application form was received.