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Host Father Host Mother
Name
Name
DOB
DOB
Place of Birth
Place of Birth
Citizenship
Citizenship
City    State
Employer Employer
Position Position
Annual Income Annual Income
Home Phone  
Work phone Work phone
Cell phone Cell phone
Host child from which country - Russia , Ukraine
Have you selected home study agency in your state?
Home Study Agency:
Agency phone number
Can you support the child's travel expenses?
Contact email