Andover Host Family Program: Volunteer Form

Last Name

First Name

Email Address

Phone Number

Hometown

State

Have you previously participated in the Andover Host Family Program?

Yes

No

How many years have you been participating in the Andover Host Family Program?

Do you have any children currently attending Phillips Academy or who will attend in the future?

Yes

No

Please indicate your student's residency status.

Boarding

Day

Please provide the names, ages, and genders of all children currently attending Phillips Academy.

	Name	Gender	Age	Graduation Year
Student 1	Name	Gender	Age	Graduation Year
Student 2	Name	Gender	Age	Graduation Year
Student 3	Name	Gender	Age	Graduation Year

Please list all the languages spoken at home.

Have you or any of your family members ever lived in a different country?

Yes

No

Please list the country(ies) and indicate the duration of stay.

Do you have any pets?

Yes

No

Please list the types of pets you have in your home.

What are some of your family's hobbies and interests?

Please provide any additional information about your family that we should know.