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College Student Application

Please fill out the form below as completely as possible to ensure the best match with your host family. Starred (*) fields are required.

Basic Info
Enter student\'s last name
Enter student\'s first name
Home Address
Best e-mail address for regular contact
or other secondary number
May we text your cell phone? (Only for last minute updates.)
mm/dd/yyyy
What school do you plan to attend?
What is your projected arrival date? (mm/dd/yyyy)
What is your projected departure date? (mm/dd/yyyy)
Family Information
Personal Information
Would you prefer to be placed alone or with a friend?
What is your friend\'s name?
What is your native language?
Do you speak any other languages?
How long have you studied English?
What is your English speaking ability?
Do you have any allergies?
What are you allergic to?
List any medications you are taking (Enter none if none)
Do you mind being placed in a home with a smoker?
What type of pets do you have, if any?
Do you like young children?
How would you describe yourself?
What type of home would you prefer?
Would you prefer to be placed with a family that attends church?
What are your hobbies and interests?
What is your favorite subject at school?
What is your favorite food?
Do you have any special talents? (acting, music, etc.)
Please write a letter to your future host family.
Please upload a recent photo of yourself (head shot in .jpg or .gif)

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