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701 Camino Del Rio, Suite 320, Durango CO 81301. Call 970-426-4284.
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Host Home Application
Kerri Cardin
2017-12-18T18:31:47-07:00
Host Home Application
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State/Province/Region
*
Zip/Postal Code
*
Country
*
Phone
*
Email
*
Occupation
*
How many adults living in the home?
*
How many children living in the home?
*
Smoking/Non-Smoking home?
*
Smoking
Non-Smoking
Do you have pets? What kind and how many?
*
Is there a private bedroom for the student?
*
Yes
No
Is there a shared or private bathroom for the student?
*
Private
Shared
Is there parking for the student?
*
Yes
No
Is there access to the kitchen for the student?
*
Yes
No
Are there keys and/or 24/7 hour access to the home for the student?
*
Yes
No
Is Internet available?
*
Yes
No
Is there a working smoke alarm on all levels of the home?
*
Yes
No
Is there a working carbon monoxide detector on all levels of the home?
*
Yes
No
Do you have any other comments?
Phone
This field is for validation purposes and should be left unchanged.
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