Warning: Invalid argument supplied for foreach() in /home/anbeduca/public_html/anb-homestay/5.blade.php on line 320

Online Host Family Application

Thank you for your interest in hosting a foreign international student.

Hosting an international student is a wonderful opportunity to experience another culture, impact the life of a student, and make a difference in today’s world. The first step of hosting begins with the Host Family Application. In addition, the screening and student placement process includes the following steps:

Host Family Application
Criminal Background Check
Home Visit
School Acceptance
Student Selection of Host Family
Host Family Responsibilities and Agreement Form Review
Host Family Orientation
Student Arrival

In order to meet quality standards for AnB Education Global Education (“AnB Education”) hosting programs, comply with U.S. Department of State regulations for secondary student exchange programs, and - most of all - to assure the natural parents that their children are placed in appropriate host families, all families must be thoroughly screened and vetted. We are confident you would want the same assurance if a family in another country were hosting you or your child.

@include('partial.input', array( 'id'=>'inputHowLearnAnBEducations', 'title'=>'How did you learn about AnB Educations foreign exchange program? (* required)', 'class'=>'DVHQ' ) )

@include('partial.input', array( 'id'=>'inputLCWhomYouAreAlreadyWorking', 'title'=>'Name of AnB Education Local Representative or Coordinator with whom you are already working, if any:' ) )

@include('partial.select', array( 'layout'=>'mt15', 'id'=>'selectEduSchoolState', 'title'=>'Please select your location and closest AnB Education school', 'selectList'=>$ar_usa_states ) )

local private schools in the state
(Do you want to select another school that is not in this selection box? If so, please keep this 'select'. And fill out below field.)

@include('partial.input', array( 'id'=>'inputOtherSchool', 'title'=>'Other school' ) )

distance from school

@include('partial.input', array( 'formId'=>'formDistSchMore', 'layout'=>'mt15', 'style'=>'display:none;', 'id'=>'inputDistSchMore', 'title'=>'then, type your distance form school(minute)') )

AnB Education representative will contact you regarding the next steps in the screening process.

Host Father Information

@if(empty($my_application->inputHostFatherFirstName)&&!strcmp($auth->sex,"M")&&$auth->grade_id==5)

Host Father First Name

@elseif(empty($my_application->inputHostFatherFirstName)&&!strcmp($application_owner->sex,"M")&&$auth->grade_id>6)

Host Father First Name

@else @include('partial.input', array( 'layout'=>'mt15','size'=>'col-lg-6', 'id'=>'inputHostFatherFirstName', 'title'=>'Host Father First Name', 'class'=>'DVNA' ) ) @endif @if(empty($my_application->inputHostFatherLastName)&&!strcmp($auth->sex,"M")&&$auth->grade_id==5)

Host Father Last Name

@elseif(empty($my_application->inputHostFatherLastName)&&!strcmp($application_owner->sex,"M")&&$auth->grade_id>6)

Host Father Last Name

@else @include('partial.input', array('layout'=>'mt15', 'size'=>'col-lg-6', 'id'=>'inputHostFatherLastName', 'title'=>'Host Father Last Name', 'class'=>'DVNA' ) ) @endif

@if(empty($my_application->selectHostFatherBirth)&&!strcmp($auth->sex,"M")&&!empty($auth->birth)&&$auth->grade_id==5) Host Father Date of Birth

@elseif(empty($my_application->selectHostFatherBirth)&&!strcmp($application_owner->sex,"M")&&!empty($application_owner->birth)&&$auth->grade_id>6) Host Father Date of Birth

@else @include('partial.dateform', array( 'id'=>'selectHostFather', 'title'=>'Host Father Date of Birth' ) ) @endif @include('partial.select', array( 'layout'=>'mt15', 'id'=>'selectHostFatherOccupation', 'title'=>'Host Father Occupation: If retired, please include the industry you have retired from.', 'selectList'=>$ar_job_list ) ) @include('partial.input', array( 'layout'=>'mt15','inputStyle'=>'display:none;', 'id'=>'inputHostFatherOccupationExplain', 'title'=>'', 'placeholder'=>'Please Explain (*max character length : 30)', 'maxlength'=>'30') )

@include('partial.input', array( 'layout'=>'mt15','size'=>'col-lg-6', 'id'=>'inputHostFatherWorkPhoneNumber', 'title'=>'Host Father Work Phone Number (*max character length : 11)', 'class'=>'DVNA integer', 'maxlength'=>'11' ) ) @include('partial.input', array( 'layout'=>'mt15','size'=>'col-lg-6', 'id'=>'inputHostFatherCellPhoneNumber', 'title'=>'Host Father Cell Phone Number (*max character length : 11)', 'class'=>'DVNA integer', 'maxlength'=>'11' ) )

@include('partial.select', array( 'layout'=>'mt15', 'id'=>'selectHostFatherLevel', 'title'=>'Host Father Level of Education', 'selectList'=>$ar_edu_level ) )

@include('partial.input', array('layout'=>'mt15', 'size'=>'col-lg-6', 'id'=>'inputHostFatherEmail', 'title'=>'Host Father Email (*max character length : 50)', 'class'=>'DVNA', 'maxlength'=>'50' ) )

@include('partial.input', array( 'layout'=>'mt15', 'id'=>'inputHostFatherCrime', 'title'=>'Have you ever committed a crime, etc? If so, please explain. (*max character length : 300)', 'class'=>'DVNA', 'maxlength'=>'300' ) )

Host Mother Information

@if(empty($my_application->inputHostMotherFirstName)&&!strcmp($auth->sex,"F")&&$auth->grade_id==5)

Host Mother First Name

@elseif(empty($my_application->inputHostMotherFirstName)&&!strcmp($application_owner->sex,"F")&&$auth->grade_id>6)

Host Mother First Name

@else @include('partial.input', array('size'=>'col-lg-6', 'id'=>'inputHostMotherFirstName', 'title'=>'Host Mother First Name', 'class'=>'DVNA' ) ) @endif @if(empty($my_application->inputHostMotherLastName)&&!strcmp($auth->sex,"F")&&$auth->grade_id==5)

Host Mother Last Name

@elseif(empty($my_application->inputHostMotherLastName)&&!strcmp($application_owner->sex,"F")&&$auth->grade_id>6)

Host Mother Last Name

@else @include('partial.input', array('size'=>'col-lg-6', 'id'=>'inputHostMotherLastName', 'title'=>'Host Mother Last Name', 'class'=>'DVNA' ) ) @endif

@if(empty($my_application->selectHostMotherBirth)&&!strcmp($auth->sex,"F")&&!empty($auth->birth)&&$auth->grade_id==5) Host Mother Date of Birth

@elseif(empty($my_application->selectHostMotherBirth)&&!strcmp($application_owner->sex,"F")&&!empty($application_owner->birth)&&$auth->grade_id>6) Host Mother Date of Birth

@else @include('partial.dateform', array( 'id'=>'selectHostMother', 'title'=>'Host Mother Date of Birth' ) ) @endif @include('partial.select', array( 'layout'=>'mt15', 'id'=>'selectHostMotherOccupation', 'title'=>'Host Mother Occupation: If retired, please include the industry you have retired from.', 'selectList'=>$ar_job_list ) ) @include('partial.input', array( 'layout'=>'mt15','inputStyle'=>'display:none;', 'id'=>'inputHostMotherOccupationExplain', 'title'=>'', 'placeholder'=>'Please Explain (*max character length : 30)','maxlength'=>'30') )

@include('partial.input', array( 'size'=>'col-lg-6', 'id'=>'inputHostMotherWorkPhoneNumber', 'title'=>'Host Mother Work Phone Number (*max character length : 11)', 'class'=>'DVNA integer', 'maxlength'=>'11' ) ) @include('partial.input', array( 'size'=>'col-lg-6', 'id'=>'inputHostMotherCellPhoneNumber', 'title'=>'Host Mother Cell Phone Number (*max character length : 11)', 'class'=>'DVNA integer', 'maxlength'=>'11' ) )

@include('partial.select', array( 'layout'=>'mt15', 'id'=>'selectHostMotherLevel', 'title'=>'Host Mother Level of Education', 'selectList'=>$ar_edu_level ) )

@include('partial.input', array( 'layout'=>'mt15','size'=>'col-lg-6', 'id'=>'inputHostMotherEmail', 'title'=>'Host Mother Email (*max character length : 50)', 'class'=>'DVNA', 'maxlength'=>'50' ) )

@include('partial.input', array( 'layout'=>'mt15', 'id'=>'inputHostMotherCrime', 'title'=>'Have you ever committed a crime, etc? If so, please explain. (*max character length : 300)', 'class'=>'DVNA', 'maxlength'=>'300' ) )

Address

@include('partial.input', array( 'id'=>'inputStreetAddress', 'title'=>'* Street Address (*max character length : 50)', 'class'=>'inputRequired', 'maxlength'=>'50' ) ) @include('partial.input', array( 'layout'=>'mt15', 'id'=>'inputCity', 'title'=>'* City (*max character length : 50)', 'class'=>'inputRequired', 'maxlength'=>'50' ) )

@include('partial.select', array( 'layout'=>'mt15','size'=>'col-lg-6', 'layout'=>'mt15', 'id'=>'selectAddrState', 'title'=>'* State', 'selectList'=>$ar_usa_states ) ) @include('partial.input', array( 'layout'=>'mt15','size'=>'col-lg-6', 'id'=>'inputZipCode', 'title'=>'* Zip code (*max character length : 32)', 'class'=>'inputRequired integer', 'maxlength'=>'32' ) )

{{--school dirstrict--}} @include('partial.input', array('layout'=>'mt15', 'id'=>'inputSchoolDistrict', 'title'=>'School District (*max character length : 50)', 'class'=>'DVNA', 'maxlength'=>'50' ) ) {{--@include('partial.input', array('layout'=>'mt15', 'id'=>'inputPreferredEmail', 'title'=>'* Preferred Contact E-mail (*max character length : 50)', 'class'=>'inputRequired', 'maxlength'=>'50' ) )--}} {{--Ethnic Backgrounds--}} @include('partial.checkbox', array( 'size'=>'col-md-4', 'layout'=>'mt30' ,'title'=>'Ethnic Background(s)', 'checkContents' => $ar_ethnic_background_list ) ) @include('partial.input', array( 'formId'=>'formOtherEthnicBackground', 'layout'=>'mt5', 'style'=>'display:none;', 'id'=>'inputOtherEthnicBackground', 'title'=>'Other Ethnic Background(s) (*max character length : 250)', 'maxlength'=>'250') ) {{--Language Spoken--}} @include('partial.checkbox', array( 'size'=>'col-md-3', 'layout'=>'mt30' ,'title'=>'Languages spoken in the household (Fluently)', 'checkContents' => $ar_language_list ) ) @include('partial.input', array( 'formId'=>'formOtherLanguage', 'layout'=>'mt5', 'style'=>'display:none;', 'id'=>'inputOtherLanguage', 'title'=>'Other Languages (*max character length : 50)', 'maxlength'=>'50') ) {{--Characteristic Traits and Preferences--}} @include('partial.checkbox1', array( 'size'=>'col-md-3', 'layout'=>'mt30' ,'title'=>'Characteristic Traits and Preferences :
• Please select all that apply. Our family prefers to host an international student that is:', 'checkContents' => $ar_characteristic_list ) ) @include('partial.input', array( 'formId'=>'formOtherCharacteristic', 'layout'=>'mt5', 'style'=>'display:none;', 'id'=>'inputOtherCharacteristic', 'title'=>'Other Characteristic Traits (*max character length : 250)', 'maxlength'=>'250') )

@include('partial.input', array( 'layout'=>'','size'=>'', 'id'=>'memberChronicConditionsExplain', 'title'=>'Does anyone living at home have any chronic conditions (physical or mental) that might affect the student? If so, please explain. (*max character length : 100)', 'maxlength'=>'100' ) )

@include('partial.radio', array( 'layout'=>'mt15', 'size'=>'col-xs-6', 'name'=>'smokeMemberExist', 'title'=>'Do any members of the family smoke indoors?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) ) {{-- Number of Children --}} @include('partial.select', array( 'layout'=>'mt30', 'id'=>'selectNumberOfChildren', 'title'=>'Number of Children', 'selectList'=>$ar_zero_to_ten ) ) {{--household member--}} @for ($j = 1; $j <= 10; $j++)

1)class="mt30"@endif style="display:none;">

Child #{{$j}}

@include('partial.input', array( 'layout'=>'','size'=>'col-lg-6', 'id'=>'inputNameOfChild'.$j, 'title'=>'Name (*max character length : 40)', 'maxlength'=>'40' ) ) @include('partial.input', array( 'layout'=>'','size'=>'col-lg-6', 'id'=>'inputRelation'.$j, 'title'=>'Relation (*max character length : 15)', 'maxlength'=>'15' ) )

@include('partial.radio', array( 'layout'=>'mt15', 'size'=>'col-xs-6', 'name'=>'radioGenderOfChild'.$j, 'title'=>'Gender of child', 'radioContents' => ['Male'=>'Male', 'Female'=>'Female'] ) ) @include('partial.radio', array( 'size'=>'col-xs-6', 'name'=>'radioLiveWithChild'.$j, 'title'=>'Does the child live with you?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) ) @include('partial.dateform', array( 'id'=>'selectChild', 'idx'=>$j, 'title'=>'Date of Birth:') ) @include('partial.select', array( 'layout'=>'mt15', 'id'=>'selectChildOccupation'.$j, 'title'=>'Occupation', 'selectList'=>$ar_job_list_studentadd ) ) @include('partial.select', array( 'layout'=>'mt15', 'id'=>'selectChildEducationLevel'.$j, 'title'=>'Level of Education', 'selectList'=>$ar_edu_grade_list ) )

@endfor

@include('partial.radio', array( 'size'=>'col-xs-3', 'class'=>'radioRequired' , 'name'=>'radioChild18Older', 'title'=>'* Is the child 18 years old and above or will the child turn 18 years of age during placement of international student\'s stay?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )

@include('partial.radio', array( 'size'=>'col-xs-3', 'class'=>'radioRequired' , 'name'=>'radioResiding', 'title'=>'Not including your children, do you have any household members at or over the age of 18 residing in the household?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )

@include('partial.select', array( 'layout'=>'', 'id'=>'selectNumberOfMember', 'title'=>'Number of Member', 'selectList'=>$ar_one_to_ten ) )

{{--Over 18 household member form--}} @for ($j = 1; $j <= 10; $j++) @endfor {{--Financial Disclosure--}}

Financial Disclosure

Note: The income data collected will be used solely for the purposes of ensuring that the basic needs of the international students can be met, including three quality meals and transportation to and from school activities. No credit check will be completed during criminal background check.

@include('partial.radio', array( 'layout'=>'mt15', 'size'=>'col-md-3', 'name'=>'radioAverageIncome', 'title'=>'Average annual Income range', 'radioContents' => $ar_financial_list ) ) @include('partial.radio', array( 'layout'=>'mt15', 'size'=>'col-md-3', 'name'=>'radioReceiveGovernmentSubsidies', 'title'=>'Does anyone residing in the home receive any kind of financial needs-based government subsidies for food or housing?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) ) {{--References--}}

References

Please list two references that have known your family for at least 12 months. Under the Department of State rules and regulations, relatives or AnB Education field staff cannot be used as a reference.

@for ($j = 1; $j <= 2; $j++)

Reference #{{$j}}

@include('partial.input', array( 'layout'=>'','size'=>'', 'id'=>'inputReferenceName'.$j, 'title'=>'* Name (*max character length : 50)', 'maxlength'=>'50', 'class'=>'inputRequired' ) ) @include('partial.input', array( 'layout'=>'mt15','size'=>'', 'id'=>'inputReferencePhoneNumber'.$j, 'title'=>'* Phone Number (*max character length : 50)', 'maxlength'=>'50', 'class'=>'inputRequired DVNA integer' ) ) @include('partial.input', array( 'layout'=>'mt15','size'=>'', 'id'=>'inputReferenceAddress'.$j, 'title'=>'Address (*max character length : 50)', 'maxlength'=>'50', 'class'=>'' ) ) @include('partial.select', array( 'layout'=>'mt15','size'=>'', 'layout'=>'mt15', 'id'=>'selectReferenceState'.$j, 'title'=>'* State', 'selectList'=>$ar_usa_states ) ) @include('partial.input', array( 'layout'=>'mt15','size'=>'', 'id'=>'inputEmailAddress'.$j, 'title'=>'* Email Address (*max character length : 50)', 'maxlength'=>'50', 'class'=>'inputRequired' ) ) @include('partial.input', array( 'layout'=>'mt15','size'=>'', 'id'=>'inputHowDoKnowThisPerson'.$j, 'title'=>'How do you know this person? (*max character length : 50)', 'maxlength'=>'50', 'class'=>'' ) )

How long have you known this person?

@endfor {{--diet--}}

Diet

@include('partial.radio', array( 'size'=>'col-xs-3', 'name'=>'radioDietaryRestrictions', 'title'=>'Does anyone in the family follow any dietary restrictions?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )

@include('partial.input', array( 'formId'=>'formDietaryRestrictionsExplain', 'layout'=>'mt15', 'style'=>'display:none;', 'id'=>'inputDietaryRestrictionsExplain', 'title'=>'Explain (*max character length : 50)', 'maxlength'=>'50') )

@include('partial.radio', array( 'size'=>'col-xs-3', 'name'=>'radioExpectStudentDietaryRestrictions', 'class'=>'radioRequired', 'title'=>'* Do you expect the student to follow any dietary restrictions?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) ) @include('partial.input', array( 'layout'=>'','size'=>'', 'id'=>'formExpectStudentDietaryRestrictionsExplain', 'title'=>'If you Yes, Please Explain (*max character length : 250)', 'maxlength'=>'250', 'class'=>'' ) )

@include('partial.radio', array( 'size'=>'col-xs-3', 'name'=>'radioComfortableHostingDietaryRestrictions', 'class'=>'radioRequired', 'title'=>'* Would you feel comfortable hosting a student who follows a Particular dietary restriction (vegetarian, vegan, etc.)?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) ) @include('partial.input', array( 'layout'=>'','size'=>'', 'id'=>'inputComfortableHostingDietaryRestrictionsExplain', 'title'=>'If you Yes, Please Explain (*max character length : 250)', 'maxlength'=>'250', 'class'=>'' ) )

* Would the family provide three (3) square meals daily?

radioFamilyProvideMeals) && $my_application->radioFamilyProvideMeals == 'Yes') checked @endif> Yes

radioFamilyProvideMeals) && $my_application->radioFamilyProvideMeals == 'No') checked @endif> No

Transportation

@include('partial.checkbox', array( 'size'=>'col-md-4', 'layout'=>'mt15', 'class'=>'leastOneCheck' ,'title'=>'* How will the international student get to the school?', 'checkContents' => $ar_exchange_to_the_school ) ) @include('partial.radio', array( 'size'=>'col-xs-3', 'layout'=>'mt15', 'name'=>'radioFamilyProvideSpecialTransportation', 'class'=>'radioRequired', 'title'=>'* Would the family provide special transportation for extracurricular activities after school or in the evenings, if required?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) ) @include('partial.input', array( 'layout'=>'','size'=>'', 'id'=>'inputIsTherePublicTransportationExplain', 'title'=>'If you No, Please Explain (*max character length : 250)', 'maxlength'=>'250', 'class'=>'' ) ) @include('partial.radio', array( 'size'=>'col-xs-3', 'layout'=>'mt15', 'name'=>'radioWorkForHighSchool', 'class'=>'radioRequired', 'title'=>'* Does any member of your household work for the high school in a coaching, teaching, or administrative capacity?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) ) {{--Community Information--}}

Community Information

@include('partial.radio', array( 'size'=>'col-xs-3', 'layout'=>'mt15', 'name'=>'radioCommunityLive', 'class'=>'radioRequired', 'title'=>'* In what type of community do you live?', 'radioContents' => ['Urban'=>'Urban', 'Suburban'=>'Suburban', 'Rural'=>'Rural', 'Farm'=>'Farm'] ) ) @include('partial.radio', array( 'size'=>'col-xs-3', 'layout'=>'mt15', 'name'=>'radioWalkBikeEasily', 'class'=>'radioRequired', 'title'=>'* Can a student walk or bike easily?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )

Nearest Major City name and Distance: @include('partial.input', array( 'layout'=>'','size'=>'', 'id'=>'inputNearestMajorCityName', 'title'=>'Major city name (*max character length : 50)', 'maxlength'=>'50', 'class'=>'' ) )

Distance @include('partial.radio', array( 'size'=>'col-xs-3', 'layout'=>'mt15', 'name'=>'radioPublicTransportationAvailable', 'class'=>'', 'title'=>'Is there convenient public transportation available to a major city?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )

Nearest Major International Airport and Distance:
@for ($j = 1; $j <= 2; $j++) @if($j==1)*@endif International Airport {{$j}} Distance @endfor

@include('partial.input', array( 'layout'=>'','size'=>'', 'id'=>'inputInterestPointExplain', 'title'=>'What points of interest are near your area? (parks, museum, historical sites, amusement parks, theaters, malls) (*max character length : 60)', 'maxlength'=>'60', 'class'=>'' ) ) {{--Home Description--}}

Home Description

@include('partial.radio', array( 'size'=>'col-xs-4', 'layout'=>'mt15', 'name'=>'radioHomeType', 'class'=>'radioRequired', 'title'=>'* Describe your type of home:', 'radioContents' => ['Single'=>'Single Family Home', 'Condominium'=>'Condominium', 'Duplex'=>'Duplex', 'Apartment'=>'Apartment', 'Mobile'=>'Mobile Home'] ) )

@include('partial.input', array( 'layout'=>'','size'=>'col-md-6', 'id'=>'inputBedNo', 'title'=>'Number of Bedrooms', 'class'=>'' ) ) @include('partial.input', array( 'layout'=>'','size'=>'col-md-6', 'id'=>'inputBathNo', 'title'=>'Number of Bathrooms', 'class'=>'' ) )

@include('partial.checkbox', array( 'size'=>'col-md-4', 'layout'=>'mt15', 'class'=>'leastOneCheck' ,'title'=>'* Describe the student’s bedroom: Please note that the student must have their own room on the ground floor or higher (no basement rooms)', 'checkContents' => $ar_student_bedroom ) ) @include('partial.input', array( 'formId'=>'formDescStudentBedroom', 'layout'=>'', 'style'=>'display:none;', 'id'=>'inputDescStudentBedroomExplain', 'title'=>'Explain(*max character length : 250)', 'maxlength'=>'250') ) @include('partial.checkbox', array( 'size'=>'col-md-4', 'layout'=>'mt15', 'class'=>'leastOneCheck' ,'title'=>'* Describe amenities to which the student has access:', 'checkContents' => $ar_amenities ) ) @include('partial.input', array( 'formId'=>'formDescAmenities', 'layout'=>'', 'style'=>'display:none;', 'id'=>'inputDescAmenitiesExplain', 'title'=>'Explain (*max character length : 250)', 'maxlength'=>'250') ) @include('partial.radio', array( 'size'=>'col-xs-4', 'layout'=>'mt15', 'name'=>'radioFunctioningBusiness', 'class'=>'radioRequired', 'title'=>'* Is the residence the site of a functioning business?', 'radioContents' => $ar_residence_site ) ) @include('partial.input', array( 'formId'=>'formFuncBusiness', 'layout'=>'', 'style'=>'display:none;', 'id'=>'inputFuncBusinessExplain', 'title'=>'Please Explain') ) {{--Household Pets--}}

Household Pets

Number of Pets

Type of Pets

Dog

Cat

Other

Family Activities

@include('partial.checkbox', array( 'size'=>'col-md-4', 'layout'=>'mt15', 'class'=>'leastOneCheck' ,'title'=>'* Please describe activities and/or sports each family member participates in, please feel free to elaborate further in the note to your student:', 'checkContents' => $ar_desc_activities ) ) @include('partial.input', array( 'formId'=>'formDescActivities', 'layout'=>'', 'style'=>'display:none;', 'id'=>'inputDescActivitiesExplain', 'title'=>'Explain (*max character length : 100)', 'maxlength'=>'100') )

@include('partial.radio', array( 'size'=>'col-xs-4', 'layout'=>'mt15', 'name'=>'radioWilling', 'class'=>'', 'title'=>'Are you willing to disclose the religious affiliations of your household members to the student in advance?', 'radioContents' => $ar_willing ) )

@include('partial.checkbox', array( 'formId'=>'formWilling', 'style'=>'display:none;', 'size'=>'col-md-4', 'layout'=>'mt15','title'=>'If yes, please select or describe below.', 'checkContents' => $ar_willing_type ) ) @include('partial.input', array( 'formId'=>'formWillingExplain', 'layout'=>'', 'style'=>'display:none;', 'id'=>'inputWillingExplain', 'title'=>'Explain (*max character length : 30)', 'maxlength'=>'30') ) @include('partial.radio', array( 'layout'=>'mt50', 'size'=>'col-xs-3', 'name'=>'radioReligiousBeliefs', 'title'=>'* Would any member of the household have difficulty hosting a student whose religious beliefs were different from their own?', 'class'=>'radioRequired', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )

Note: A host family may want their international student to attend one or more religious services or programs with the family. The international student cannot be required to do so, but may decide to experience this facet of U.S. culture at his or her discretion.

@include('partial.radio', array( 'size'=>'col-xs-4', 'layout'=>'mt15', 'name'=>'radioHostingInternationalStudents', 'class'=>'radioRequired', 'title'=>'* Are you now hosting an international student?', 'radioContents' => $ar_international_students ) ) @for ($j = 1; $j <= 10; $j++)

1)class="mt30"@endif style="display: none;">

International Student # {{$j}}

@include('partial.input', array( 'layout'=>'mt15','size'=>'col-lg-4', 'id'=>'inputInternationalStudentName'.$j, 'title'=>'Name (*max character length : 50)', 'maxlength'=>'50' ) ) @include('partial.input', array( 'layout'=>'mt15','size'=>'col-lg-4', 'id'=>'inputOriginCountry'.$j, 'title'=>'Country of Origin (*max character length : 50)', 'maxlength'=>'50' ) )

Gender of International Student

{'radioGenderOfInternationalStudent'.$j}) && $my_application->{'radioGenderOfInternationalStudent'.$j} == 'Male') checked @endif> Male

{'radioGenderOfInternationalStudent'.$j}) && $my_application->{'radioGenderOfInternationalStudent'.$j} == 'Female') checked @endif> Female

@include('partial.dateform', array( 'id'=>'selInterStu', 'idx'=>$j, 'title'=>'Date of Birth' ) )

@include('partial.input', array( 'layout'=>'mt15','size'=>'col-lg-4', 'id'=>'inputInternationalAgency'.$j, 'title'=>'Agency (*max character length : 50)', 'maxlength'=>'50' ) ) @include('partial.input', array( 'layout'=>'mt15','size'=>'col-lg-4', 'id'=>'inputInternationalCurrentSchool'.$j, 'title'=>'Current School (*max character length : 50)', 'maxlength'=>'50' ) )

Current Level of Education

@endfor

* Would you prefer to host:

radioPreferHost) && $my_application->radioPreferHost == 'Male') checked @endif> Male

radioPreferHost) && $my_application->radioPreferHost == 'Female') checked @endif> Female

radioPreferHost) && $my_application->radioPreferHost == 'NoPreference') checked @endif> No Preference

* Would you be interested in hosting more than one student?

radioMoreThanOneStudent) && $my_application->radioMoreThanOneStudent == 'Yes') checked @endif> Yes

radioMoreThanOneStudent) && $my_application->radioMoreThanOneStudent == 'No') checked @endif> No

Will you host a student with minor allergies?

radioAllergiesStudent) && $my_application->radioAllergiesStudent == 'Yes') checked @endif> Yes

radioAllergiesStudent) && $my_application->radioAllergiesStudent == 'No') checked @endif> No

Are you willing to consider hosting a student with minor special needs?

radioConsiderSpecialNeeds) && $my_application->radioConsiderSpecialNeeds == 'Yes') checked @endif> Yes

radioConsiderSpecialNeeds) && $my_application->radioConsiderSpecialNeeds == 'No') checked @endif> No

Do you have any specialized training or experience that would be pertinent? Please describe (*max character length : 250)

* Do you grant AnB Education Global Education permission to use your photos for publicity and educational purposes?

radioGrantEducationPermission) && $my_application->radioGrantEducationPermission == 'Yes') checked @endif> Yes

radioGrantEducationPermission) && $my_application->radioGrantEducationPermission == 'No') checked @endif> No

* Please Share a few words about your family to your prospective international student; ( ex Things your family likes to do, what you would be most excited to share with your new host student)-**please space between words.(*max character length : 500)

HOUSE RULES: Please Describe your expectations regarding the responsibilities and behavior of the student while in your home (e.g. homework, household chores, curfew [school nights and weekends], access to refrigerator and food, computer use, drinking of alcoholic beverages, driving, and smoking). (*max character length : 500)

Please upload the following Images. All photos should be uploaded right side up : (Indicate file formats compatible with program)

Home Exterior@if(!empty ($my_application->inputFile_HomeExterior))delete@endif

Family Group Photo@if(!empty ($my_application->inputFile_FamilyGroupPhoto))delete@endif

Living Room@if(!empty ($my_application->inputFile_LivingRoom))delete@endif

Kitchen@if(!empty ($my_application->inputFile_Kitchen))delete@endif

Dining Room@if(!empty ($my_application->inputFile_DiningRoom))delete@endif

Your Choice@if(!empty ($my_application->inputFile_YourChoice_1))delete@endif

Your Choice@if(!empty ($my_application->inputFile_YourChoice_2))delete@endif

Your Choice@if(!empty ($my_application->inputFile_YourChoice_3))delete@endif

Your Choice@if(!empty ($my_application->inputFile_YourChoice_4))delete@endif

Your Choice@if(!empty ($my_application->inputFile_YourChoice_5))delete@endif

Your Choice@if(!empty ($my_application->inputFile_YourChoice_6))delete@endif

Your Choice@if(!empty ($my_application->inputFile_YourChoice_7 ))delete@endif

The U.S. Department of State requires that photographs of the host family home’s exterior and grounds, kitchen, student’s bedroom, student’s bathroom, and family and living areas be included in this application. Please submit the photos either by email or hard copy.

I, the undersigned, have, to the best of my knowledge, answered the questions in this application form accurately and truthfully. I understand that knowingly and willfully providing false information to AnB Education will result in immediate expulsion from the program and possible legal action.

Print your name here.(Host Mother) *The Printed your name will be taken as your signature

@include('partial.dateform', array( 'id'=>'inputSignDate1', 'title'=>'Date' ) )

Print your name here.(Host Father) *The Printed your name will be taken as your signature

@include('partial.dateform', array( 'id'=>'inputSignDate2', 'title'=>'Date' ) )

@if($host->local_id!=null&&$auth->grade_id==7) @endif @if($auth->grade_id==5||$auth->grade_id>5)

@endif @include('partial.save')