Culminating Activity Host Family Profile Annex 6 You have to fill out their host family profile in order

to be paired with a possible host student. By using the personalize/contextualize strategy, you have to complete the host family profile form. Fill out every space with the required information.

HOST FAMILY PROFILE

TEACHER USE ONLY

Exchange Student

Nationality

Coordinator s Name

11 months This form will be sent to the students parents. Please type or print clearly in black. Students Name Hernndez Jorge Host Family Name Hernndez Mothers Name Gabriela Street Address Town Age 45 Luis Father s Name

5 months

Age 20 Age 48

State Puebla City Puebla

21 sur and 13 oriente Puebla Telephone Number 8870807 NA Work Details Occupation Company Hours of work/Days

Zipcode 72850 Country Mxico

Fax Number

Email jorge.lhb@gmail.com

Mobile Telephone 22338454 Work Details Mother Teacher SEP 10 hours a day

Father Lawyer NA 12 hours a day

Occupation Company Hours of work/Days

Children/Other Persons in Family Name Age Gender Anglica 14 female Haga clic aqu para escribir Haga Haga clic Haga clic texto. clic aqu para escribir Haga clic Haga aqu para Haga clic texto. clic aqu para escribir Haga clic aqu para aqu Haga escribir Haga Haga texto. clic aqu para escribir Haga clic aqu para aqu escribir para texto. clic texto. clic para aqu escribir para texto. escrib aqu aqu escribir para texto. escrib ir para escrib ir texto. texto. escrib ir texto. Relationship Living at home sister Yes No Haga clic aqu para Yes No Haga clic aqu para escribir texto. Yes No Haga clic aqu para escribir texto. Yes No Haga clic aqu para escribir texto. Yes No escribir texto.

School Details School UPAEP Telephone 2299400

Address

13 Poniente 1927

Fax

NA

City

Puebla Yes No

Government school

State Puebl Zip code a catholic Religion

72410

Email

NA

Number of students at school

16000

How will student get to school?

Car and Distance 2.4 km Time involved 10 bus minutes

YOUR FAMILY PHOTOS

Please provide some photos of your family, your home and a family activity. These photos are sent to your student and his/her parents overseas. This is a very important part of the profile and we ask you to include some photographs. The photos can be in color or black and white and if you would prefer you can attach colored photocopies instead. Please write names and descriptions next to each photo. Please attach the photos to this page Here is my family. We are four: my mother Gabriela, my father Luis and my sister Anglica. My mom, who is 45 years, is a teacher and she works in the morning and in the afternoon. My dad, who is 48 years, is a lawyer, he always works hard or sometimes he travels for working. My sister, who is younger than me, is a student, she goes to high school. We have a dog, his name is Moaises but he is very aggressive and lazy. Every Saturday all family, uncles, cousins, grandparents, share the food and talk about our week. Sometimes we go out to watch a movie or meet new places. I usually read every days but Saturdays and Sundays I read.

Would your family be happy to host either as girl or boy?

Yes No

Which do you prefer?

A girl

Are you willing to host a student whose native language is not Spanish? What other languages (if any) are spoken by family members? Will the Student have his/her own room? Yes No Spanish, English Who will student share with? NA

Yes No

Briefly describe the person the student will share with: NA

Do members of your family smoke?

Yes No

Would you be willing to host a student who smokes?

Yes No Yes No

Would the student be allowed to smoke in the house?

Yes No

In his/her room?

Do members of your family drink alcohol?

Yes No

If yes please complete the section below

Name -------------------------------------------

How Often? ----------------------------------

Number of standard drinks -----------------------------------------

Would you object to a student drinking moderate amounts of alcohol while in your care?

Yes No

List 7 activities that you and your family enjoy doing

Eat Watch movies Read a book or magazine Travel Spending time with the whole family Go to parties Cook

Do you belong to any clubs or participate in any sports?

No

Pets One dog

Indoor only Haga clic aqu para escribir texto.

Outdoor Haga clic aqu para escribir texto.

Both Yes

How particular are you about housekeeping? What household chores or duties do family members have responsibility for? What chores would you expect your exchange student to do? What are the basic rules and responsibilities for teenagers in your home? What about the younger children? Are you willing to transport your student to school activities?

Very

Somewhat

Not very

Not at all

Clean your room, dusting furniture and making his bed Clean their room, sweep and wash your clothes Make your bed and wash your underwear and and no smoking and drinking alcohol yes

Please describe your home, including number of rooms, bathrooms, entertainment areas and garden etc

My house was built in 1986 by my grandfather who is an architect. My house is close to shops so it is very easy to get the things you need. We have a lounge, a two dining, four bedrooms, five bathrooms, a garden, a terrace and a study. Is very nice and quiet read in the study. The host student bedroom has, a TV, a computer, a table to do their jobs and a closet. In the garden we have many flowers and one fountain and sometimes eat there. In my room I have a TV, computer, a closet, a bed, a sofa and a table. We also have a room to watch TV together. My house is very closer to the center of the city. I like my house because it is modern and comfortable.

Have any family members travelled overseas? yes If yes, which members and what countries? Have you hosted an international student before? .yes, my father traveled to England If yes, what country, what year, name of student, age and gender and for what length of time. NA

Yes No

Does any member of your family have a serious illness or disability? Is this likely to affect your familys ability to host a student?

No

What is your familys religious affiliation?

catholic

Would you agree to host a student with religious beliefs other than your own?

Yes No