STUDENT FRIENDSHIP FAMILY APPLICATION

!INTERNATIONAL STUDENT FRIENDSHIP FAMILY APPLICATION!

* Indicates required field

Name *

First

Last

Is this your first semester at Crowder? *

Yes No

If No then when did you arrive at Crowder? *

What is your age? *

Email *

SEX *

Address in Home Country *

Line 1

Line 2

City

State

Zip Code

Country

Cell Phone *

WHAT NATIONALITY IS YOUR PASSPORT? *

Address in the United States if known *

Line 1

Line 2

City

State

Zip Code

Country

HAVE YOU LIVED OR VISITED THE UNITED STATES BEFORE? *

YES? NO?

IF YES PLEASE TELL US WHEN AND FOR HOW LONG *

Languages Spoken *

are you married or do you have any children?

NAME OF HUSBAND OR WIFE? *

AGE *

CHILD'S NAME? *

AGE *

CHILD'S NAME *

AGE *

OTHER CHILDREN? *

TELL US ABOUT YOUR FAMILY *

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

DO YOU SMOKE SMOKE? *

YES NO

DO YOU WANT A FAMILY WITH CHILDREN? *

YES NO NO PREFERANCE

DO YOU WANT A FAMILY WITHOUT PETS? *

YES NO

RELIGIOUS PREFERANCE *

Choose Any *

I WOULD LIKE TO HAVE A FRIENDSHIP FAMILY AND SEE THEM 3-4 TIMES A MONTH I WOULD LIKE TO HAVE A FRIENDSHIP FAMILY AND SEE THEM ONCE A MONTH I WOULD LIKE TO SEE A FAMILY JUST ONCE OR TWICE A SEMESTER I WOULD LIKE TO BE INVITED TO GROUP INTERNATIONAL SUNDAY LUNCHES IN AN AMERICAN HOME I WOULD LIKE A CONVERSATION PARTNER TO HELP WITH ENGLISH AND MEET 1-2 HRS WEEKLY

QUESTIONS OR OTHER COMMENTS YOU HAVE *

Apply