Host Family Application

The Wilsonville Sister City Advisory Board will be welcoming Middle School students and chaperones from Kitakata, Japan to Wilsonville from December 6 - 16, 2025 and are in need of host families!

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Applicant Information

Applicant Name *

Applicant Street Address *

City *

State *

Zip *

Email *

Telephone *

Parents and Adults in the Household (Name, Occupation and Birthdate) *

(If selected as a host family, birthdate will be required for all members of your household age 18 and older to conduct a background check).

Children Living in the Household (Name, Age and School) *

Animals *

Do you have any pets? If yes, what kind? Are your pets in your house? Please explain.

Has anyone in your family studied Japanese or traveled to Japan? If yes, please describe. *

Hobbies and Interests *

Are You Interested in Hosting (please list all that apply):

Student/Chaperone/Either *

Boy/Girl/Either *

1 guest/2 guests/either *

Other Comments:

Signature *

Type Name Here

Date Signed *

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