Global Outreach
Barbara Tota-Boryczka
4815 Whitetail Way
Appleton, Wi 54914
920-734-5967
Email:
HOST FAMILY RECOMMENDATION
Family Name: Click or tap here to enter text.
Address: Click or tap here to enter text.
The family named above is applying to host an international student through Global Outreach, a Catholic High School exchange program, and they have given us your name as a personal reference.
We would appreciate your candid responses to the following questions, as well as a few sincere comments concerning their family life. Your comments are very important, as the students and their parents appreciate knowing that we are making careful placements. Your recommendation is one consideration in our evaluation of the suitability of this family to host a teenage student. Please do not hesitate to tell us if you have any doubts. All information will remain confidential.
Please return your reference to:
Barbara Tota-Boryczka
4815 Whitetail Way
Appleton, WI 54914
Thank you for your time and effort!
- How long have you known this family? Click or tap here to enter text.
- In what capacity have you known them? Click or tap here to enter text.
- Would you feel comfortable if your child were to spend ten months with this family? Click or tap here to enter text.
- Are there any reasons for which you would hesitate recommending this family for hosting? Click or tap here to enter text.
If so, please explain.Click or tap here to enter text.
Global Outreach
Barbara Tota-Boryczka
4815 Whitetail Way
Appleton, Wi 54914
920-734-5967
Email:
Excellent / Good / Fair / PoorFamily’s willingness/ ability to provide a good experience / ☐ / ☐ / ☐ / ☐ /
Family closeness, warmth and enthusiasm / ☐ / ☐ / ☐ / ☐ /
Stability of members within the family / ☐ / ☐ / ☐ / ☐ /
Flexibility and Openness / ☐ / ☐ / ☐ / ☐ /
Interests and activities / ☐ / ☐ / ☐ / ☐ /
Community and/or parish involvement / ☐ / ☐ / ☐ / ☐ /
Accommodations / ☐ / ☐ / ☐ / ☐ /
Please give us your opinion: Click in the appropriate box.
Please explain why you feel this family would be good hosts to an international student. In addition, we would appreciate your comments and impressions regarding their Christian nature, adaptability, experience with other cultures, and any other information that would assist us in matching them with an appropriate student.
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☐Check here if you wish to discuss this reference by phone.
Print completed form and send to the above address,
or print this page, sign, scan, and email the signed page with your above completed form to the above email address.
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☐ Check here if you would like more information about hosting a student through the Global Outreach program.