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International Student Services
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Submitted by mmende on Fri, 02/11/2011 - 12:46pm
in
International Student Services
Name:
*
Mailing Address:
*
Email:
*
Phone:
*
Cell Phone:
Children:
Please include gender and birthday
What is/are your occupation(s)?:
*
Do you own pets?:
*
Yes
No
If yes, what kinds?:
Indicate 4-5 activities that best represent your family's hobbies, skills and interests:
Biking
Bowling
Cooking
Faith Based Activities
Fishing
Gardening
Golfing
Musical Activities
Movies
shopping
Technology
Sports Events
Hiking
Volunteering
Museums
Theatre/Acting
Other experiences or interests:
Please share any other experiences or interests that might help us get to know you better, so that we can match you with an appropriate student
Indicate any preferences with respect to the following
Gender:
*
Male Student
Female Student
No Preference
Smoking:
*
Non-Smoker
Smoker
No Preference
Have you previously hosted an international student?:
*
Yes
No
If yes, how long ago and how many students?:
Do you have a preference regarding the nationality of your student?:
How much time do you anticipate spending with your student?:
*
Weekly
Every Other Week
Monthly
2-3 Times a Year
Do you have a preference regarding the religious affiliation of your student?:
*
Yes
No
If yes, which religious affiliation would you prefer?:
List at least one personal reference, including a telephone number or email address:
*
Please feel free to reccomend another family or friend who may be interested in the program.:
We will contact them and invite their participation (please include their phone and email address).
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