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Application

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Gabriela
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0% found this document useful (0 votes)
68 views14 pages

Application

Uploaded by

Gabriela
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FAMILY: Blanchard - #93732

DATE APPROVED: 04/08/2024

General | Primary Parent

Legal First/Given Name Legal Middle Name Legal Last/Family Name

Lindsay - Blanchard

Preferred Name (Nickname) Sex

- Female

If you would like the opportunity, we invite you to share more about the gender identity below

Date of Birth Email Cell Phone

10/08/1987 lindsayr1020@gmail.com (337) 224-0297

Highest Education Level Employment Status Occupation (former if retired)

Graduated from trade school or community Self-employed Business owner or proprietor

college

Are you a single parent?Do you share custody of any children living with

No you with an ex-partner?

No

General | Parent 2

Legal First/Given Name Legal Middle Name Legal Last/Family Name

Benjamin - Blanchard

Preferred Name (Nickname) Sex

Ben Male

If you would like the opportunity, we invite you to share more about the gender identity below

Date of Birth

08/20/1985

Email Cell Phone Highest Education Level

Ben@calmech.net +1 337 802 3062 Graduated from college/university

Employment Status Occupation (former if retired) Do you share custody of any children living with

Self-employed Business owner or proprietor you with an ex-partner?

No

General | Physical/Mailing Address

4879 East Shoals Creek Drive , Lake Charles - Louisiana

United States 70605-5988

Home Phone How long have you lived at this address?

+1 337 224 0297 2

Is your mailing address the same as your physical address?

Yes

General | Hosting Experience

Have you ever hosted a foreign exchange student before?

No

Are you currently hosting an exchange student with another organization?

No
FAMILY: Blanchard - #93732

DATE APPROVED: 04/08/2024

Household Members | Members

Number of Additional Household Members (Do NOT include Host Parent(s) or Exchange Students from this organization)

Relation Legal First/Given Name

Child Rose

Legal Middle Name Legal Last/Family Name Preferred Name (Nickname)

- Blanchard -

Sex

Female

If you would like the opportunity, we invite you to share more about the gender identity below

Date of Birth School Attendance Status

11/15/2016 Elementary/Middle/High School

Current School Attending Grade in School

Our Lady Queen of Heaven School, Lake Charles, LA 1

Does he/she participate in any school sponsored clubs or activities? Please describe activities

Yes Basketball, Bible school

Living at Home (indicate "Part-Time" for members that will live in the home at any time during the exchange period e.g. college students that are over for

holidays, etc.)

Full-Time

Will this household member share his/her bedroom with student?

No

Relation Legal First/Given Name

Child Dawson

Legal Middle Name Legal Last/Family Name Preferred Name (Nickname)

- Blanchard -

Sex

Male

If you would like the opportunity, we invite you to share more about the gender identity below

Date of Birth School Attendance Status

06/04/2019 Preschool or Younger

Living at Home (indicate "Part-Time" for members that will live in the home at any time during the exchange period e.g. college students that are over for

holidays, etc.)

Full-Time

Will this household member share his/her bedroom with student?

No
FAMILY: Blanchard - #93732

DATE APPROVED: 04/08/2024

Religious Preference | Family

Religious Affiliation
Catholic

How often do you attend religious services? fficulty hosting a student with
Does any member of your household have di

Weekly ff
di erent religious beliefs?

No

Religious Preference | Student


Would you provide transportation to the student's religious services if they are di erent from your own?

Yes

Would you like, although you can't require, your exchange student to attend services with your family?

Yes
FAMILY: Blanchard - #93732

DATE APPROVED: 04/08/2024

Family Description | Letter

We have decided to host an exchange student for multiple reasons, that bene fit the student and our family. The program is a great
opportunity to broaden their horizons and perspective of the world and di fferent cultures. My husband and myself have prayed on this
decision and feel as if our children are at the age where they will appreciate and understand the importance of helping others achieve

their dreams and being hospitable in the process.

We absolutely love our city and the culture is rich in Lake Charles. Louisiana. Southern hospitality is made to be shared, and we are

sure that a student from Spain would absolutely love it here, with my heritage being from Spain and Portugal. I am also very excited to

learn about her culture as well.

We will continue praying on this opportunity, for ourselves and for Gabriela.

Family Description | Interests

Please select your families interests. These are interests you like to do as a family or any interests individual household members would be willing to

share with the exchange student(s). This will help us better match you with the prospective student.

American Football, Athletics, Baseball, Basketball, Church Activities or Clubs, Gardening, Gymnastics, Skating, Soccer/ Football,

Swimming
FAMILY: Blanchard - #93732

DATE APPROVED: 04/08/2024

Hosting Environment | Language

As per the regulations, English must be your primary language spoken at home to qualify for this volunteer hosting opportunity.

I Acknowledge

Hosting Environment | Residence Usage

Is the residence the site of a functioning business (e.g. daycare, farm)?

No

Hosting Environment | Double Placement

Would you like to be considered for hosting two students?

Hosting Environment | Sleeping Arrangements


Student(s) may share a bedroom with someone of the same sex and within a reasonable age di erence, but must have their own bed.

Student #1

Student will have his/her own bedroom


FAMILY: Blanchard - #93732

DATE APPROVED: 04/08/2024

Hosting Environment | Family Rules

Curfew on school nights taking into consideration school activities/events

9:00 PM

Curfew on weekends

10:00PM

Chores

The chores would include all the same chores that I require of my own children. Folding and putting away laundry, unloading dishes.

Helping with yardwork on some weekends.

Computer, internet, and email duration of usage

No tv screen time in our home, other than movies, mostly on the weekends. Only one tv in home that’s used for family time. Tv will be

available to student if she needs it for school. Phone, computer, internet can be used whenever and she will be encouraged to maintain

contact with her parents, but we ask that she not use her phone during designated family bonding time which will be scheduled around

her school work, gymnastics, and friend activities.

Expenses (personal expense expected to be paid by the student(s)

Shows, concerts or specials events, gymnastics fees.

Other (please include any other rules or expectations you will have of your exchange student)

None.
FAMILY: Blanchard - #93732

DATE APPROVED: 04/08/2024

Hosting Environment | Pets


How many di erent types of INDOOR pets do you have?

Pet Type 1 How many

Dogs 1

Pet Type 2 How many

Cats 1


How many di erent types of OUTDOOR pets do you have?

Hosting Environment | Utilities & Internet

What type of utilities do you have in your home? What type of internet connection do you have in your home?

All Public (Power, Water, Gas, Sewer) High Speed (DSL/Cable/etc.)

Hosting Environment | Smoking

Does anyone in your family smoke/vape tobacco products? Does anyone in your family smoke/vape marijuana, provided that it is a

No legal activity in your state?

No

Hosting Environment | Allergies

Would you be willing to host a student who is allergic to animals? (If they are able to handle the allergy with medication)

No

Hosting Environment | Dietary Situation

Does anyone in your family follow any dietary restrictions?

Yes

Please Describe

We limit dairy and sugar.

Do you expect the student to follow any dietary restrictions?

Yes

Please Describe

We will not want to have extra sugar/junk food in the house.

Would you feel comfortable hosting a student with a dietary restriction (vegetarian, vegan, etc.)

Yes

Are you prepared to provide three (3) quality meals per day? (students are expected to pay for lunches purchased at school)

Yes
FAMILY: Blanchard - #93732

DATE APPROVED: 04/08/2024

Hosting Environment | Surveillance

Do you currently have, or are you planning to install, indoor video


I confirm that if I want to enable location tracking for the exchange
surveillance?
student(s), I must first get approval from the student's natural
parents.
No

Photo Album | Family Members

Benjamin, Lindsay, Dawson, and Rose. Lindsay, Benjamin, Dawson and Rose after one of Rose’s gym

meets

Dawson (son) Rose (daughter)


FAMILY: Blanchard - #93732

DATE APPROVED: 04/08/2024

Photo Album | Home Exterior

Pool in back yard Front of house

Photo Album | Kitchen

View of kitchen Second view of kitchen


FAMILY: Blanchard - #93732

DATE APPROVED: 04/08/2024

Photo Album | Living Room

Another view of living room

Photo Album | Student's Bathroom

Sink and toilet in student bathroom Student’s bathtub


FAMILY: Blanchard - #93732

DATE APPROVED: 04/08/2024

Photo Album | Student's Bedroom

Student’s bed Student’s room with window visible

Student’s closet
FAMILY: Blanchard - #93732

DATE APPROVED: 04/08/2024

Photo Album | Additional Photos

Picture Dawson and Rose drew for Gabriela Dawson and Rose playing. They cannot wait to play with

Gabriela

-
FAMILY: Blanchard - #93732

DATE APPROVED: 04/08/2024

School | School Information

School Name [city, state] School -to- Home Distance Number of Students

A. M. Barbe High School, Lake Charles, LA 1-3 miles 1501-2000

School | Transportation

Note that the student can only be expected to walk to school if the distance is less than one mile.

How will the student get to school?

School Bus

We encourage our students to get involved in school activities which many times are after school or on weekends. Busing and carpools are not always

available. Would you be willing to provide or assist in securing transportation so the student may attend these activities?

Yes

School | Relationships

Does any member of your household work for the high school in a coaching/teaching/administrative capacity?

No

Has any member of your household had contact with a coach regarding the hosting of an exchange student with a particular athletic ability?

No
FAMILY: Blanchard - #93732

DATE APPROVED: 04/08/2024

Community Pro file | City/Town Info

Community Type Population

Rural 50,001-100,000

Terrain City/Town Website

Lakeside https://www.cityo flakecharles.com/


Nearest Major City How Far is the Nearest Major City

Lake Charles 10-25 miles

Population of the Nearest Major City

50,001-100,000

Community Pro file | Airports (for students to arrive)

Primary Airport Distance from home

Lake Charles Regional Airport 10-25 miles

Secondary Airport Distance from home

Lake Charles Regional Airport 10-25 miles

Community Pro file | Climate

Avg temp in winter (in F): Avg temp in summer (in F): Seasons description

60 85 Cold winters, Hot summers, Humid

Community Pro file | Neighborhood

Neighborhood Type

Suburban

Areas in or near your neighborhood to be avoided and distance from your home

None

Community Pro file | Advice to Students

Indicate type of clothes, sports equipment, school supplies, or other items students should bring with them

School backpack, required school clothes, summer and winter clothes- shorts, t-shirts, long pants/jeans, sweaters, light coat.

Describe the points of interest in your area

Lakefronts, parks

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