International Friendship Program Host Family Application

The following information that you provide helps us assign you to a student with similar or compatible interests.

Name/Names:

Address:

Phone Number:

Email Address:

Occupation/s:

Name(s) and age(s) of any children living at home?:

Language(s) spoken in the family?:

What organizations, hobbies, and special interests involve the family?:

What international travel or experiences have you had?:

Do you have pets?:

If so, what kind?:

I/We would prefer a:

I would prefer a student who will be here for :

Would you like more than one student?:

If so, what combination?:

Do you have a preference for a student from a certain country(ies) or geographic region?:

Reason for preferences?:

Why do you want to be a part of this program?:

I/Our family would be willing to help with:

Serving on a Host Family Committee

Planning a special event

Thanksgiving Potluck

Spring Social

I/We would like to receive emails about upcomign International Friendship Program events:

Culture and Intensive English Program
University of Northern Iowa
72 Baker Hall
Cedar Falls, IA 50614-0511

Phone: (319) 273-2182
Fax: (319) 273-3333

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