TEAM KIRTLAND HOME AWAY FROM HOME
HOST FAMILY QUESTIONNAIRE
 
Other Host Family Members who reside at the host family address (all ages):
Name, Relationship to Primary Host Family Member, Age, Gender, Occupation
E-Mail Address(es):
Emergency Contact Name:
Emergency Contact Phone:
Please check here if your contact information in box is releasable to airmen’s parents and base staff members.
Family's Interests: (please select all that apply)
 
Do you have the following in your home? (please select all that apply) *
Do you have access to Kirtland AFB? *
Preferred Method of Communication:
Do you use texting via cell phone? *

Airmen Request

Gender Preference:
 
Are you willing to accept an Airman who smokes? *