THE FRIENDSHIP FORCE OF LOS ANGELES HOME HOST APPLICATION
A Friendship Force Exchange offers an opportunity for people from different parts of the world to share their lives with each other in the spirit of friendship. The success of the experience depends on the extent to which participants can build friendships, exercise flexibility, adapt to unforeseen difficulties and promote understanding.  The following information is needed to help FFLA select Hosts who are representative of our community. Detailed information also helps us match Hosts and Ambassadors.
Only one application and agreement is needed for each household.   (attach additional page if needed)

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Exchange or Activity Name, (i.e. "Germany" or "Berlin") ,
Name ,   M/F ,  Birthdate ,
Address ,
     City ,  State,  Zip ,
Telephone: Home ,  Work , 
Cellular ,
E-mail address ,
Occupation (previous job if retired),   Full or Part Time ,
Other household member(s) ,
Relationship ,  Age ,  M/F ,
What foreign languages do you speak and what is your proficiency?
,
Your interests and hobbies. Write in any not shown ,
Art, Antiques, Sports, Museums, Theater/Movies, Cooking, Crafts, Animals,
Music, Dancing, Reading, Volunteering, Photography, Outdoors. Gardening Family Activities. 
I am a Member or Docent of ,
What pets do you have?
cat, dog, bird, other , Indoor or Outdoor? ,
Does anyone in your home smoke? , Are you willing to host a smoker? ,
Number of Ambassadors preferred Chose type(s):
What size beds (and how many) are available? ,
Do you have a car available?
In addition to the driver, how many can it seat? ,
Do you have any driving limitations? ,
Will you need a day host? ,
Have you served as an FF Host? ,  If yes, when? ,
Have you served as an FF Ambassador? , 
If yes, where? ,

I have read the Host Agreement and agree to it as part of this application.  I am 18 years of age or older. 
I have completed this application to the best of my knowledge and believe it is true.
, Date
Signature, representing all members of the household and date
(if submitted electronically, signature field may be typed)
2002 FFLA  (Note: Print before submitting!)     no longer works, so instead:

Please fill in this form, then print this form, then sign it, and finally mail it to your Exchange Director.

This page last modified September 13, 2008.