Go to site search
Go to main navigation
Go to main content
Search
Go
Degree Programs
Doctor of Information Technology
Master of Business Administration
Master of Science in Business Analytics
Master of Science in Engineering Management
Master of Science in Information Studies
Bachelor of Science in Information Systems
Healthcare Informatics Certificate
Admission
Tuition and Fees - Graduate
Tuition and Fees - Undergraduate
About
Accreditation
Commencement
FAQs - Graduate Degrees
FAQs - Undergraduate Degrees
Faculty
Trine.edu
Webmail
MyPortal
Moodle
Career Center
Apply
Home
International
Winter Break Host Family Application
Winter Break Host Family Application
More in this Page
International
After Admission
Plan Your Arrival
Orientation
Detroit Education Center
Phoenix Education Center
Reston Education Center
Health Insurance
Tuition and Fees
FAQs
Accreditation
Please don't fill out this input box.
Family Information
First Name
*
Last Name
*
Address
*
Personal Email
*
Cell Phone
Marital Status
*
Single
Married
List names and ages in immediate family who live with you and their relationship to you.
*
General Information
How did you hear about us?
*
Trine Website
Trine Faculty/Staff
Friends/Family
Social Media
Church
Other
What is your field of occupation?
*
Please list hobbies and things you and your family are interested in:
*
Please share why you are interested in hosting an exchange student.
*
Would you be able to drop off and pick up your student from Trine before and after their classes?
*
Yes
No
Would you be able to take your student on an excursion during Labor Day Weekend?
*
Yes
No
What other activities do you envision for the two weeks you are hosting this student?
*
Personal Information and Preferences
Do you smoke?
*
Yes
No
Do you have any pets? If so, please list:
*
What do you hope to get from the Short Term Host Family Program?
*
Form UUID
Site Name
Submit
Clear
©