Name Intern Host Home Application To facilitate a good match between interns and host families, please complete the following profile. This information, along with a profile completed by the intern will greatly assist us in matching compatible individuals and lifestyles.Contact Information First Name Last Name Street Address City State Zip Phone Number Email Address Home & Family Information Please list the names, ages, and relationships to you of all individuals who will be living at your home while the intern is with you. Name Age Name Age Name Age Name Age Please describe the bedroom and bathroom space you can provide. Would the bathroom be shared? Is the bedroom near the other bedrooms in the home? Do you have pets? If yes, please list. Does anyone in your home smoke? yes no Lifestyle Information Describe what a typical day looks like in your home. Including general activity level, when you wake up, when you go to bed, typical dinner times, etc... Spiritual Information How long has your family been part of DCC? Describe your involvement with DCC. Please describe what motivated you to consider hosting a resident.