Host family Interview and Pre-Arrival Orientation
@include('partial.input', array( 'style'=>'padding-left:0px;','layout'=>'mt15','size'=>'col-lg-6', 'id'=>'inputStudentNamefirst_homevisit', 'title'=>'Student\'s Last name', 'maxlength'=>'40' ) )
@include('partial.input', array( 'style'=>'padding-left:0px;','layout'=>'mt15','size'=>'col-lg-6', 'id'=>'inputStudentNamelast_homevisit', 'title'=>'Student\'s First name', 'maxlength'=>'40' ) )
@include('partial.input', array( 'layout'=>'','size'=>'', 'id'=>'inputHostfamilyName_homevisit', 'title'=>'Host family Full name', 'maxlength'=>'40' ) )
@include('partial.input', array( 'layout'=>'','size'=>'', 'id'=>'inputHostfamilyAddress_homevisit', 'title'=>'Host family Address', 'maxlength'=>'150' ) )
@include('partial.radio', array( 'size'=>'col-xs-6', 'class'=>'radioRequired' , 'name'=>'preferred_studentarrival', 'title'=>'Host family\'s preferred date for student\'s arrival', 'radioContents' => ['weekend'=>'Weekend', 'weekday'=>'Weekday', 'daytime'=>'Daytime', 'nighttime'=>'Nighttime'] ) )
@include('partial.radio', array( 'size'=>'col-xs-6', 'class'=>'radioRequired' , 'name'=>'type_of_home', 'title'=>'Type of home', 'radioContents' => ['Single'=>'Single', 'Condo'=>'Condo', 'Duplex'=>'Duplex', 'Apartment'=>'Apartment'] ) )
@include('partial.input', array( 'style'=>'padding-left:0px;','layout'=>'mt15','size'=>'col-lg-6', 'id'=>'total_bedrooom_homevisit', 'title'=>'Total # of bedroom', 'maxlength'=>'40' ) )
@include('partial.input', array( 'style'=>'padding-left:0px;','layout'=>'mt15','size'=>'col-lg-6', 'id'=>'total_bathrooom_homevisit', 'title'=>'Total # of bathroom', 'maxlength'=>'40' ) )
Bedroom
@include('partial.radio', array( 'size'=>'col-xs-6', 'class'=>'radioRequired' , 'name'=>'radio_shareroom_exstudent', 'title'=>'Will the exchange student share his/her room?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )
@include('partial.input', array( 'layout'=>'','size'=>'', 'id'=>'input_shareroom_exstudent', 'title'=>'If yes, with which household resident?', 'maxlength'=>'40') )
@include('partial.radio', array( 'size'=>'col-xs-6', 'class'=>'radioRequired' , 'name'=>'radio_exstudent_ownbed', 'title'=>'Does the exchange student have their own bed?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )
@include('partial.radio', array( 'size'=>'col-xs-6', 'class'=>'radioRequired' , 'name'=>'radio_bedclean', 'title'=>'Is the bedroom clean?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )
@include('partial.radio', array( 'size'=>'col-xs-6', 'class'=>'radioRequired' , 'name'=>'radio_roomready', 'title'=>'Is the exchange student’s room ready for the student now?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )
@include('partial.input', array( 'layout'=>'','size'=>'', 'id'=>'input_roomready', 'title'=>'If no, Please explain', 'maxlength'=>'80' ) )
@include('partial.radio', array( 'size'=>'col-xs-6', 'class'=>'radioRequired' , 'name'=>'radio_exstudent_owndesk', 'title'=>'Does the student have his/her own desk?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )
Bathroom
@include('partial.radio', array( 'size'=>'col-xs-6', 'class'=>'radioRequired' , 'name'=>'radio_bathroomclean', 'title'=>'Is the bathroom clean?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )
@include('partial.radio', array( 'size'=>'col-xs-6', 'class'=>'radioRequired' , 'name'=>'radio_sharebathroom', 'title'=>'Does the student have to share a bathroom?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )
@include('partial.input', array( 'layout'=>'','size'=>'', 'id'=>'input_sharebathroom', 'title'=>'If yes, who is sharing the bathroom with the student?', 'maxlength'=>'40' ) )
Kitchen
@include('partial.radio', array( 'size'=>'col-xs-6', 'class'=>'radioRequired' , 'name'=>'radio_kitchenclean', 'title'=>'Is the kitchen clean?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )
@include('partial.radio', array( 'size'=>'col-xs-6', 'class'=>'radioRequired' , 'name'=>'radio_notice_mold_spoiledfood', 'title'=>'Did you notice any mold or spoiled food?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )
Pets
@include('partial.radio', array( 'size'=>'col-xs-6', 'class'=>'radioRequired' , 'name'=>'radio_familyhavepet', 'title'=>'Does the family have pets?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )
@include('partial.input', array( 'layout'=>'','size'=>'', 'id'=>'input_familyhavepet', 'title'=>'then, How many?', 'maxlength'=>'40' ) )
@include('partial.input', array( 'layout'=>'','size'=>'', 'id'=>'input_familyhavepetlist', 'title'=>'If yes, please list the pets', 'maxlength'=>'40' ) )
@include('partial.radio', array( 'size'=>'col-xs-6', 'class'=>'radioRequired' , 'name'=>'radio_where_petlive', 'title'=>'Where do the pets live?', 'radioContents' => ['Inside'=>'Inside', 'Outside'=>'Outside'] ) )
Utilities
@include('partial.radio', array( 'size'=>'col-xs-6', 'class'=>'radioRequired' , 'name'=>'radio_wmd', 'title'=>'Does the house have workable smoke detectors in each room?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )
@include('partial.radio', array( 'size'=>'col-xs-6', 'class'=>'radioRequired' , 'name'=>'radio_wah', 'title'=>'Does the house have a workable air-conditioning and heating system?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )
@include('partial.radio', array( 'size'=>'col-xs-6', 'class'=>'radioRequired' , 'name'=>'radio_weapon', 'title'=>'Are there any firearms or other weapons, such as knife collection, in the home?', 'radioContents' => ['Yes'=>'Yes', 'No'=>'No'] ) )
@include('partial.input', array( 'layout'=>'','size'=>'', 'id'=>'input_weapon', 'title'=>'If yes, please specify', 'maxlength'=>'100' ) )
@include('partial.fileupload_empty', array( 'layout'=>'','size'=>'col-lg-6', 'id'=>'inputFile_exterior_homevisit', 'title'=>'Exterior' ) )
@include('partial.fileupload_empty', array( 'layout'=>'','size'=>'col-lg-6', 'id'=>'inputFile_kitchen_homevisit', 'title'=>'Kitchen' ) )
@include('partial.fileupload_empty', array( 'layout'=>'','size'=>'col-lg-6', 'id'=>'inputFile_studentbedroom_homevisit', 'title'=>'Student\'s bedroom' ) )
@include('partial.fileupload_empty', array( 'layout'=>'','size'=>'col-lg-6', 'id'=>'inputFile_studentbathroom_homevisit', 'title'=>'Student\'s bathroom' ) )
@include('partial.fileupload_empty', array( 'layout'=>'','size'=>'col-lg-6', 'id'=>'inputFile_livingroom_homevisit', 'title'=>'Living room of the potential host family’s home' ) )
*Local coordinator, Please check all items that apply.
@include('partial.checkbox', array( 'size'=>'col-md-12', 'layout'=>'mt30' ,'title'=>'', 'checkContents' => ['homevisit_lc1'=>'I, ANB local coordinator, have conducted the host family interview. The following contents have
been covered'] ) )
@include('partial.checkbox', array( 'size'=>'col-md-12', 'layout'=>'mt30' ,'title'=>'', 'checkContents' => ['homevisit_lc2'=>'I have conducted the above inspection and acknowledge that the information provided above is true and accurate to the best of my knowledge;'] ) )
@include('partial.checkbox', array( 'size'=>'col-md-12', 'layout'=>'mt30' ,'title'=>'', 'checkContents' => ['homevisit_lc3'=>'I have read and discussed the Host Family Agreement with members of the host family;'] ) )
@include('partial.checkbox', array( 'size'=>'col-md-12', 'layout'=>'mt30' ,'title'=>'', 'checkContents' => ['homevisit_lc4'=>'I have interviewed the host family members and reviewed all the details listed in the Host Family
Application.'] ) )
Host family pre-arrival orientation
*Host family members, Please check all items that apply.
@include('partial.checkbox', array( 'size'=>'col-md-12', 'layout'=>'mt30' ,'title'=>'', 'checkContents' => ['homevisit_lc2_1'=>'I have been informed of the philosophy, rules and regulations governing AnB Education’s academic
exchange program.'] ) )
@include('partial.checkbox', array( 'size'=>'col-md-12', 'layout'=>'mt30' ,'title'=>'', 'checkContents' => ['homevisit_lc2_2'=>'I have been advised of strategies governing cross-cultural interaction and informed of cultural
differences and practices'] ) )
@include('partial.checkbox', array( 'size'=>'col-md-12', 'layout'=>'mt30' ,'title'=>'', 'checkContents' => ['homevisit_lc2_3'=>'I am aware that it is my responsibility to inform AnB Education of any and
all material changes in the status of my family or student, including, but not limited to, changes in
address, finances, employment and criminal arrests.'] ) )
@include('partial.checkbox', array( 'size'=>'col-md-12', 'layout'=>'mt30' ,'title'=>'', 'checkContents' => ['homevisit_lc2_4'=>'I have confirmed my email address and the names of the family members over the 18 years of age for the criminal background check(CBC).'] ) )
@include('partial.input', array( 'layout'=>'','style'=>'padding-left:0px;','size'=>'col-lg-6 mt15', 'id'=>'inputHostFatherSignName', 'title'=>'Host father name', 'maxlength'=>'40' ) )
@include('partial.dateform', array( 'layout'=>'col-lg-6','size'=>'', 'id'=>'inputHostFatherSignDate', 'title'=>'Date' ) )
@include('partial.input', array( 'layout'=>'','style'=>'padding-left:0px;','size'=>'col-lg-6 mt15', 'id'=>'inputHostMotherSignName', 'title'=>'Host mother name', 'maxlength'=>'40' ) )
@include('partial.dateform', array( 'layout'=>'col-lg-6','size'=>'', 'id'=>'inputHostMotherSignDate', 'title'=>'Date' ) )
@include('partial.input', array( 'layout'=>'','style'=>'padding-left:0px;','size'=>'col-lg-6 mt15', 'id'=>'inputLCSignName', 'title'=>'Local coordinator name', 'maxlength'=>'40' ) )
@include('partial.dateform', array( 'layout'=>'col-lg-6','size'=>'', 'id'=>'inputLCSignDate', 'title'=>'Date' ) )