Fillable Global Education HOMESTAY STUDENT AND FAMILY AGREEMENT Under (Spokane Community College)

Fill Online, Printable, Fillable, Blank Global Education HOMESTAY STUDENT AND FAMILY AGREEMENT Under (Spokane Community College) Form

Use Fill to complete blank online SPOKANE COMMUNITY COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Global Education HOMESTAY STUDENT AND FAMILY AGREEMENT Under (Spokane Community College)

On average this form takes 13 minutes to complete

The Global Education HOMESTAY STUDENT AND FAMILY AGREEMENT Under (Spokane Community College) form is 3 pages long and contains:

  • 0 signatures
  • 44 check-boxes
  • 33 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Spokane Community College

BROWSE SPOKANE COMMUNITY COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
CCS 5814 (Rev. 01/20)
Marketing and Public Relations
Global Education
HOMESTAY STUDENT AND FAMILY AGREEMENT
Under 18-Years-Old
Check off each item as you discuss it, making note of details on the lines below.
Please return a copy to the Homestay Office as soon as possible. Thank you!
Student:
School Year:
Homestay Parent(s):
PAYMENT:
1. Pay the first month's homestay fee ($850) which includes housing and food. *Please provide receipt for student.
• If student arrives mid-month, pro-rate to $28.50 per day until the first day of the next month. Student then pays
on the first day of each subsequent month.
• If a student is away for short periods of time, he/she is expected to continue paying the monthly homestay fee of
$850. However, if away longer than three (3) weeks, then student may pay $10 per day for the days they are
gone, and $28.50 per day for the days of the month they are in the home.
• If a student is away for one quarter but would like to retain his/her current homestay bedroom with belongings,
they should discuss this with the homestay family and coordinate a written agreement regarding the amount to
be paid during this period. The Homestay Program suggests $60 per week.
• Student begins paying the 18+ rate for the Homestay Fee, the calendar month following their birthday. Fee is
not prorated during the month of their birthday.
2. Discuss the preferable form of payment: cash, check, or other.
3. Payment is due on the 1
st
of the month.
FOOD:
1. Student prepares their own breakfast, discuss food items they would like to have available.
2. Student prepares their own lunch, discuss food items they would like to have available.
3. Discuss schedule and food preferences for the dinner meal.
4. Discuss where in the home food may be eaten.
5. Discuss expectations regarding chores related to meals (cooking prep, clearing the table, dishes).
6. Discuss expectations regarding snacks between meals.
7. Discuss expectations regarding cell phone usage during meals.
8. Discuss dinner schedule, and how far in advance student should notify the host family if they will NOT be home
for dinner.
LAUNDRY & PERSONAL SUPPLIES:
1. Demonstrate how to use the washer and dryer.
2. Student purchases own personal products (shampoo, soap, personal toiletries).
Homestay family provides laundry soap and toilet paper unless the student requires specialized products.
3. Preferred schedule for laundry:
USE OF ELECTRONICS:
1. Computers: Discuss use of (or not) family computers. Help student access family Wi-Fi and purchase a
computer, if needed. Discuss family rules regarding online pornography, piracy, and chat rooms.
2. Gaming systems: Discuss how to use, and hours the system is available to the student.
CCS 5814 (Rev. 01/20)
Marketing and Public Relations
3. Entertainment/TV: Discuss how to use, and hours student may use the system.
4. Telephone: Help student set up a personal cell phone. If needed, help them add a translation app.
PROPERTY DAMAGE:
1. Students are responsible to pay for any damages they cause to the home or property. Student pays the host
home directly for damages. Please notify the Homestay Office if damages occur.
2. Review the room, bathroom, and kitchen for any current damages. A recommended practice is to take photos
and/or make a list of the current condition of the room/property.
Student (initial):________ Family (initial) ________
TRANSPORTATION:
1. Ride the bus with the student to and from SFCC/SCC at least once. Provide a bus schedule(s) and
explain how to access STA routes online by cell phone/computer.
2. Discuss and plan what arrangements will be to meet the student at the bus stop or other agreed
upon location(s) if student travels during the dark hours of the day. Discuss how much notice must be given to
the family to make these arrangements.
3. Discuss the difference between school transportation needs, and optional/entertainment desires.
DAILY SCHEDULE:
1. Discuss student’s class schedule and approximate times they will be leaving and arriving home.
*REQUIRED:
Students must inform Homestay Family of their exact whereabouts at all times and provide full
names, cell phone numbers and locations of where they will spend time with friends and friend’s home addresses.
2. Discuss when "Quiet Hours" are in the home. This is when the student should refrain from making noise by talking
on the telephone, gaming, watching movies, listening to music.
FRIENDS/GUESTS VISITING AND OVERNIGHT:
1. Discuss the family’s required rules for guests visiting or spending the night, and for student to spend the night
away from homestay.
SAFETY:
1. Discuss rules for student arriving home late or staying overnight at friends.
2. Show and explain how to use electrical appliances such as heaters, fireplaces, ovens, irons, etc. Discuss where
these items are to be used in the house.
3. Discuss when to leave lights on/off and turn on/off room heaters.
4. Show how to exit house and where to meet if there is a fire.
5. Discuss use of candle, lighters, and open flames, and where they may be used.
6. Discuss use of outlets and maximum usage of circuits.
7. Discuss doors and when they should be shut/locked.
CLEANING:
1. Explain family guidelines and demonstrate how to clean:
Kitchen, after student use
Bedroom
CCS 5814 (Rev. 01/20)
Marketing and Public Relations
Bathroom (if shared with others, discuss schedule; if exclusive use, discuss frequency of cleaning)
SMOKING:
1. Discuss family rules regarding smoking in/outside of the home, for students and their friends. (Note: Smoking in
Washington is illegal prior to the age of 21.)
MOVING OUT:
1. Student must be age 18 before moving out, and student must meet with CCS Homestay Staff for permission.
Students may not move out of the CCS assigned Homestay without approval of the Homestay Program staff.
2. Families and students must allow a minimum of 30-day notice if requesting a change in Homestay Placement.
TRAVELING OUT OF SPOKANE AREA:
1. Before traveling out of Spokane area for day or overnight trips, the student’s legal guardian must sign the Travel
Permission Form before the student departs.
PERMISSION TO CONTACT
1. Discuss scenarios in which student requests host family to contact legal guardians/parents or agents.
(Medical issues? Non-compliant with host home? Damages to home? Other?)
Emergency contacts:
Guardian phone number/email:
Agent phone number/email:
I give permission to my host family to contact my parents regarding my health, behavior, safety, or other concerns.
CONTACT INFORMATION
Student:
Cell:
Email:
I agree to abide by this Homestay Agreement.
Student Signature:
Date:
Homestay Parent(s):
Name:
Cell:
Email:
Name:
Cell:
Email:
Homestay Family Signature:
Date:
Send the completed form to:
International Homestay, Spokane Falls Community College
MS 3011, 3410 W. Ft. George Wright Dr., Spokane, WA 99224
Email: InternationalHomestay@ccs.spokane.edu
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Global Education HOMESTAY STUDENT AND FAMILY AGREEMENT Under (Spokane Community College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 8 October 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document