First Name:
*
Last Name:
*
Gender:
What is your approximate age?
Marital Status:
Spouse' s Name (if married)
Do you have children?
If yes, how many and how old are they?
Email Address:
*
Home Phone Number:
Cell/Work Phone Number:
Address:
City:
State:
Zip:
Place of Employment:
Spouse's Place of Employment:
When will you be ready for matching:
Have you traveled abroad?
If yes, where?
Your religious affiliation:
Would it be acceptable for an International Student to be placed with you who has a different religion than you?
Are you a smoker?
Do you own animals?
If yes, please describe.
Area of the world (Please note that most of our students come from Asia)
Can you host two students? (Hosts often report that hosting multiple students is easier.)
Can you meet students at the airport before semester starts?
If yes, which semester(s) can you do?
If necessary, can you provide temporary housing (two or three days) for new students upon arrival?
How did you hear about the International Hospitality Program?
Please list some of your reasons for applying.
Do you have any additional comments or questions?
How would you prefer to receive your newsletter?