FRIENDSHIP FAMILY APPLICATION

Crowder College BSU

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FRIENDSHIP FAMILY HOSTS PLEASE FILL OUT THIS APPLICATION

* Indicates required field

Name *

First

Last

Title *

Occupation *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone *

Cell Phone *

Business Phone *

PLEASE FILL OUT YOUR SPOUSE'S INFORMATION

Name *

Title *

Occupation *

Email *

Business Phone *

Cell Phone *

CHILDREN LIVING AT HOME

NAME *

AGE *

NAME *

AGE *

NAME *

AGE *

OTHERS LIVING AT HOME AND THEIR AGE *

PETS LIVING AT HOME *

HAVE YOU HAD ANY PREVIOUS EXPERIENCE WITH INTERNATIONAL STUDENTS? PLEASE EXPLAIN *

ADDITIONAL LANGUAGES YOU SPEAK IF ANY? *

ARE YOU INTERESTED IN HOSTING A.... *

MALE FEMALE

WILL YOU HOST A STUDENT OF ANY NATIONALITY? *

YES NO

IF YOU HAVE A CHOICE WHAT ARE YOUR TOP 3 CHOICES? *

WHAT ARE YOUR SPECIAL INTERESTS, E.G. MUSIC, SPORTS, THEATER, TRAVEL? *

CAN YOU ACCOMMODATE SOMEONE WHO SMOKES? *

YES NO

CAN YOU ACCOMMODATE SOMEONE WITH DIETARY RESTRICTIONS? DIABETIC/HALAL/KOSHER/VEGETARIAN *

YES NO

WOULD YOU LIKE MORE THAN ONE STUDENT? *

YES NO

QUESTIONS OR OTHER COMMENTS YOU HAVE *

PLEASE CHECK ALL THAT APPLY: *

I HAVE LOTS OF TIME AND WANT TO MEET OFTEN WITH A STUDENT (2-4 TIMES A MONTH) I WOULD LIKE TO CONNECT WITH A STUDENT AT LEAST ONCE A MONTH I WANT TO BE INVOLVED BUT CAN ONLY DO SOMETHING ONCE A SEMESTER I WOULD LIKE TO INVITE A LARGER GROUP OF INTERNATIONAL STUDENTS TO MY HOME FOR A SOCIAL EVENT I WOULD LIKE TO HOST A SUNDAY LUNCH!

Apply