Mother’s Last Name:
Mother’s First Name:
Mother’s Date of Birth:
Father’s Last Name:
Father’s First Name:
Father’s Date of Birth:
Is at least one parent a United States Citizen?:
YesNoPlease tell us the gender and ages of children living in your home (for example M12, F6):
Street Address:
City:
State:
AlabamaArizonaArkansasCaliforniaColoradoConnecticutDelawareDCFloridaGeorgiaIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code:
Region:
WA,OR,MT,ID,WYCA,NV,UT,AZNM,CO,OK,TXAR,LA,MSIA,MO,NE,KSMN,IL,WIND,SDKY,OH,WVIN,MIPAME,NH,VTNJ,NYCT,DC,DE,MA,MD,RI,VANC,TNFL,SCAL,GAHome Phone:
Mother’s Cell Phone:
Father’s Cell Phone:
Preferred Phone:
Mother’s CellFather’s CellHomeEmail (enter only one address): Hosting Season:2020 SummerHow did you hear about us?:FacebookTwitterInstagramWebsiteConference/EventChurchEmailFrom a Previous Host FamilyWe are a Rehost FamilyOther

If you later apply to host you will be asked to commit to regular church attendance, family prayer, and agreement with our statement of faith (which you can view by clicking here). In addition, in order to host one parent must be with the child at all times. If both parents work outside the home, you will need to arrange vacation times, etc. to be with the host child. Please select yes to indicate that you agree to meet these requirements:

YesNo

Name of Church and City:

Has anyone in your home been investigated by Child Services?:
YesNo

I understand that NHFC is an international hosting program, bringing disadvantaged children from orphanages, foster homes, and other transitional programs in Eastern Europe. Further, I understand that all children are to return to their home country with their chaperones at the completion of the hosting program.

YesNo

Once your photo request has been reviewed and approved to view the photolisting you will be sent a link and information about hosting. Please select your preference for contact.:

Email in 24-48 hoursEmail and Phone in 24-48 hoursJust looking

Additional brief comments :

By placing your first and last name in the box you indicate the information you have provided is true and accurate and you understand all contributions made to NHFC are considered a donation and are non-refundable. By signing up for the photo listing you also agree to receive notifications from New Horizons for Children :
(Full Name Required*)