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The Working Vacation & The Gentlemen Host Program


Request an Application

If you are interested in becoming a Gentlemen Host®, and you have read our Candidate Letter and Dance Criteria, please take a moment to fill out this application request form. Your request will be emailed to our Chicago office, and an information packet and application form will be mailed to you.

Gentlemen Hosts® serve as volunteer, goodwill ambassadors and do not receive salaries.


The information you provide will not be disclosed to any third parties. It is not necessary to complete every field in this form, but doing so will allow us to process your request more quickly. We cannot send you a packet without your first and last name, and your complete mailing address.


Full Name
Mailing Address
Email Address
Telephone
Age 40 to 49
50 to 59
60 to 65
66 to 70
other
Marital
Status
Never Married
Divorced
Widowed
Work
Status
Full-time
Part-time
Retired
What is your current
or former occupation.

Do you speak fluent English? Yes
No
Have you taken dance lessons? Yes
No
In which of these dances are you proficient?      Select all that apply Fox Trot
Swing
Cha-Cha
Waltz
Rumba
How did you hear about our program?
Tell us about your social dance experience.

Please note: It is essential that a Gentlemen Host® be a competent (not expert) dancer, and he must have a proficiency in the basic steps of the social ballroom dances, fox-trot, waltz, swing, and the Latin rumba and cha-cha.


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