For more information on hosting a Welcoming Homes guest, contact us.

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Host Application Form

Host Family Information:

Name:(Required)

First Last

Phone:(Required)

Email:(Required)

Address:(Required)

Street Address City State / Province / Region ZIP / Postal Code

Members of Family:(Required)

Please include identifying genders and ages

Language's Spoken:(Required)

Household Pets:

(please list type and numbers)

Smoking/Non-Smoking:

Describe Available Space:(Required)

Description of Your Family:

Motivation for Wanting to Host:

Time Frame Available for Hosting:(Required)

Family Interest Inventory:

Male

Female

LGBTQ+

Halal

Kosher

Atheist

Religious

Does not speak English

Experienced Trama

Physical Challenges

Allergic to Animals

Smokes

Meat Eater

Vegetarian

Other (please specify to the right)

Check all guest traits that would be be a good fit with your family.

"Other" (please specify)

References:

Name:

Relationship:

Phone:

Name:

Relationship:

Phone:

Name:

Relationship:

Phone:

Clearances (for all household members older than 18)

1. Motor Vehicle Record It's very simple to do on the internet, Please download and enclose results below or email them separately to: info@welcoming-homes.org Please request a 3 year history. There is a $15 cost for this record, please submit a receipt to us and we will reimburse you.

2. Pennsylvania State Police Criminal History Clearance (free for volunteers)

Clearance Documents:

Drop files here or

Accepted file types: pdf, doc, docx, jpg, jpeg, Max. file size: 50 MB, Max. files: 15.

(You can submit these at a later time too)

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