Hosting Program Application
Please complete the form below to indicate your interest in becoming a host family for an NYCFC Academy player.
If selected to move forward in the hosting assessment process, a fuller application will be provided.
Applicant Information
First Name
Last Name
Phone Number
Email
Date of Birth
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Occupation
Second Applicant Information (If Applicable)
First Name
Last Name
Phone Number
Email
Date of Birth
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Day
Year
Please select...
1900
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1911
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1914
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1971
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1977
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1981
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1983
1984
1985
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2015
Year
Occupation
Address Line 1
Address Line 2
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Montana
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Ohio
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Rhode Island
South Carolina
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Vermont
Virginia
Washington
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Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip Code
Are there additional residents over the age of 18 in your home?
Yes
No
Are there residents under the age of 18 in your home?
Yes
No
If yes, please share ages:
Previous Experience
Please share any additional personal or professional experience you have in providing care for young people.
Transportation and Additional Questions
Are you willing and able to provide transportation for student (training, school)?
Yes
No
Is there anything else you/your family want NYCFC to know?
Contact Information
