Host Home Application Form


Host Home Application Form
First Name
Last Name
Address
City
State
Zip
Phone
Phone Type
How many people are currently living in your household?
Please list their names and relationship to you.
Why do you want to become a Piercing Word Host Home?
Do you have a personal relationship with Jesus Christ, and how does that make an impact on your life today?
What space do you have to offer to a Piercing Word intern or interns?
Have you ever hosted anyone in this space before? If so, please briefly describe that experience.
When will that space become available?
What is your ideal length of hosting? 12 months, 9 months, or 3 months?
Would you be willing to provide food for your intern(s) on a daily basis for the duration of the internship?