Adopt-a-Buc Host Family Application

Adopt-a-Buc is a student-host family program at Dawson Community College. Community members who apply will be matched with a DCC student. Your role as a host family is to help the student find a home away from home. This is for the student to visit a family and have a local support system, not a live-in program. For the safety of our students, a background check will be conducted on every individual over the age of 18 living in a household. 

To apply, fill out the form below. You may also download and print a paper application by clicking here.

Family Type
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
First Name *
Last Name *
Gender
First Name
Last Name
Gender

List all children living in your home.

Gender
Gender
Gender
Gender

List all non-related individuals living in your home.

Gender
Gender
Your preferred student would be
Your preferred student would be
Number of students you prefer to host
How often would you like to meet with your student?

Background Check

Download and complete the following forms for the background check. One of each form must be submitted for every person 18 and older in the host family's household. Completed forms may be uploaded below to submit with the application or emailed to ekaufman@dawson.edu. Applications are not complete until background check forms have been received.  

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