CAMP START DATE INFORMATION:
This application is for the camp running:
Month:
SELECT
January
February
March
April
May
June
July
August
September
October
November
December
*
Year:
SELECT
2007
2008
2009
2010
2011
2012
*
My Family supports the Adventist School in:
*
PARENT INFORMATION:
Host family Name of Father in home:
*
Father's Age:
SELECT
20 to 30
31 to 40
41 to 50
51 to 60
61 to 70
71 to 80
80 +
*
Fathers's Occupation:
*
Father's Hobbies:
*
Host family Name of Mother in home:
*
Mother's Age:
SELECT
20 to 30
31 to 40
41 to 50
51 to 60
61 to 70
71 to 80
80 +
*
Mother's Occupation:
*
Mother's Hobbies:
*
FAMILY INFORMATION:
Children in home:
SELECT
0
1
2
3
4
4 +
*
1st child's Name:
Gender:
SELECT
Male
Female
Age:
SELECT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21 to 30
31 to 40
40 +
2nd child's name:
Gender:
SELECT
Male
Female
Age:
SELECT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21 to 30
31 to 40
40 +
3rd child's name:
Gender:
SELECT
Male
Female
Age:
SELECT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21 to 30
31 to 40
40 +
4th child's name:
Gender:
SELECT
Male
Female
Age:
SELECT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21 to 30
31 to 40
40 +
ADDRESS INFORMATION:
Home Address:
*
City:
*
State/Province:
* Zip: *
Telephone:
* (xxx-xxx-xxxx)
Email:
*
HOME LOCATION INFORMATION:
Do you live in the:
SELECT
City
Country
*
Acreage:
SELECT
less then 1
1 to 5
6 to 10
11 to 20
21 to 30
31 to 40
41 to 50
51 to 60
61 to 70
71 to 80
81 to 90
91 to 100
100 +
*
My house seves only vegetarian meals:
SELECT
Yes
No
*
Pets in my Home:
SELECT
0
1
2
3
4
5
6
7
8
9
10 +
*
HOSTING PREFERENCES:
I am willing to host:
SELECT
2 Korean children
4 Korean children
*
I prefer to host:
SELECT
Male
Female
*
I am willing to host girls OR boys:
SELECT
Yes
No
*
I prefer grade level:
SELECT
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
*
I am willing to host any grade level:
SELECT
Yes
No
*
ANTI SPAM & LEGAL NOTICE:
*
