Fillable Global Education Homestay Student and Family Agreement TEMPORARY (Spokane Community College)

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Global Education Homestay Student and Family Agreement TEMPORARY (Spokane Community College)

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The Global Education Homestay Student and Family Agreement TEMPORARY (Spokane Community College) form is 2 pages long and contains:

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  • 38 other fields

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File type: PDF

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Page 1 of 2
CCS 40-337 (Rev. 06/18)
Marketing and Public Relations
Global Education
Homestay Student and Family Agreement
TEMPORARY HOMESTAY
Check off each item as you discuss it, making note of details on the lines below.
Please return a copy to the homestay manager as soon as possible. Thank you!
Student
Dates in home:
1. Payment is due upon arrival in the home.
Daily rate: $
x Days in home
= $
total
Date paid:
(Pro-rated daily rates are $28.50 minors; $23.50 students over age 18; $13.50 shared homestay)
FOOD
1. Discuss selection of food in the home, and which items students may freely eat.
2. Discuss meal times and expectations.
3. Discuss acceptable eating areas in the home.
LAUNDRY
1. Discuss days of the week, and times of the day, which the student can do their laundry.
Discuss how to use the machines.
TRANSPORTATION
1. Discuss transportation to school.
2. Discuss transportation to optional/social events, if applicable.
3. Discuss expectations regarding notifying host family about student’s location and schedule.
4. Discuss notice required for a ride, arriving after dark, using a ride service, riding with friends, etc.
DAILY SCHEDULE
1. Discuss student’s schedule and approximate times they will be leaving and arriving home.
SMOKING
1. Check one:
1. Smoking is NOT allowed on the property and NOT allowed inside the home.
Page 2 of 2
CCS 40-337 (Rev. 06/18)
Marketing and Public Relations
1. Smoking is allowed outside, in this area:
2. Smoking is allowed inside, in this area:
NOTES:
CLEANING
1. Discuss schedule for student cleaning the bathroom and their bedroom.
ELECTRONICS and HOME SYSTEMS
(Discuss the following topics as needed, regarding usage, quiet hours, ethical concerns, safety, conservation, etc.)
Alarm system
Fans
Lights
TV/Entertainment system
Computer/Wi-Fi
Gaming system
Outlets and power strips
Water/shower
Doors/Locks
Heater
Telephone
PROPERTY DAMAGE
1. Students are responsible to pay for any damages to the home or property. Student pays the host home directly for
damages. Please notify the Homestay Office if damages occur.
(Initial) Student:
Host family
FRIENDS/GUESTS VISITING and OVERNIGHT
1. Discuss family requirements and expectations regarding guests.
2. Discuss expectations regarding visiting other homes and apartments of friends.
Minor students: Required to inform Homestay Family of their exact whereabouts at all times. Students must provide
name, cell phone number and address of where they are, and who they will be with, while away from the family.
CURRENT CONTACT INFORMATION:
(Note current details below. Signature below affirms that student and family agree on the content of this form.)
1. STUDENT:
Cell Phone:
Email:
1. STUDENT emergency contact:
Name:
Relationship:
Phone:
Email:
Date:
HOST FAMILY:
Cell:
Cell:
Home:
Email:
Email:
Work phone (emergency only):
Host Family Signature:
Date:
Send the completed form to: InternationalHomestay@ccs.spokane.edu OR
International Homestay—CCS Global Education—MS 3011—3410 W. Ft. George Wright Dr.—Spokane, WA 99224
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Global Education Homestay Student and Family Agreement TEMPORARY (Spokane Community College)

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Completed 8 October 2020

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