Host Family Reference Form

Dear Referee,

Thank you very much for agreeing to be a referee for our host family applicant.

The family who have nominated you as a referee have applied to be a host family for our organisation. They have applied to host a teenager between the age of 16 and 18 from a foreign country such as Denmark, Italy, USA and Japan. As a host family they are asked to invite a student into their home for a period of 4 to 10 months and welcome them as a member of their family. While living with the family the student will attend a local high school and hopes to live like a local while improving their English skills and learning about Britain and our culture and traditions.

As a referee for the family we are asking for your honest opinion as to whether you would recommend this family to host a teenager. Please tell us honestly if you believe that the family will create a welcoming and safe environment for a teenager and whether you would feel comfortable recommending them for this role. Please know that all answers to these questions are strictly confidential and will not be shared with the applicant under any circumstances. Your reference will form one part of the application of the family as they will also undergo an at home interview and a DBS or PVG check.

If you have any questions about this reference or about the role that the family have applied for then please call our office on 02380970924 or email info@myeducationuk.co.uk If you are happy to complete this form then we ask that you do so in a timely fashion so that the placement of the student can be continued.

Thank you very much for your time.

Nicky Butler

Country Manager

Host Family Reference Form

Host Family Name*
Your Name*
Your email address

We will only use this to contact you if we have any questions about the reference provided.
Current Occupation
How long have you known the host family for?*
How do you know the family?*
Which member of the family are you most familiar with?*
What qualities will make the family a good host for a teenage student?*
How do the family relate to young people?*
Have you visited the family home?*
- Yes - within the last year
- Yes - more than a year ago
- No
Do you believe the home is a comfortable environment for a teenager to live in?*
Would you place your own child in their care?*
To the best of your knowledge, has a member of the family ever been accused of anti-social behaviour?*
- Yes
- No
To the best of your knowledge, has a member of the family ever been accused of abuse, either toward children, drugs or alcohol?*
- Yes
- No
Any further comments to add?
Are you happy for the MyEducation staff to contact you with any questions related to this reference?*
- Yes
- No
CAPTCHA