Student Application for Host Family

The Host Family Program provides students with a home away from home. It introduces families to a diverse community of students from all over the United States, as well as internationally.

Western Nebraska Community College (hereinafter WNCC or the College) is an active campus with numerous extracurricular activities and programs for its students to participate in, including the Host Family Volunteer Program. These events may include trips that take you away from the campus and require travel, programs on and off campus which may challenge and engage you physically and socially, or other activities that are purely entertaining. While we encourage you to experience these activities while being mindful of your studies, we also ask that you be mindful of the risks you may be taking by participating in or attending such events. While the College does not knowingly provide opportunities which may pose undue risks to any participants, there may be specific activities that could pose risks that are beyond the control of the College, its agents or employees.

Read and complete all items:

In signing this release, I acknowledge and represent that I have read the Waiver & Release Agreement, understand and agree to be bound by it, and sign it voluntarily. 
I acknowledge that by writing my name I am agreeing.
If I (the student am under the age of 19 I will have to have my parent read and digitally sign the agreement

IF STUDENT IS UNDER THE AGE OF 19

  1. I am the parent or legal guardian of the Student / Applicant;
  2. I have read the foregoing Student Application, Waiver and Release Agreement (including such parts as may subject me to personal financial liability);
  3. I am and will be legally responsible for the obligations and acts of the Student / Applicant as described in this Release; and
  4. I agree, for myself and the Student / Applicant, to be bound by its terms.
I acknowledge that by writing my name I am agreeing.