The information you provide helps the committee assign you to a student with similar or compatible interests. Name(s) * Address * E-mail Address * Occupation(s) * Names and ages of any children living at home: * Languages spoken in the family * What organizations, hobbies, and special interests is your family involved in? * What international travel or experiences have you had? * We would prefer a * Male Female Couple Family Any Would you be interested in a short-term student, from 8 weeks to 1 semester? * Yes No Please list countries that you are especially interested in students from * Why do you want to be a part of this program? * Our family would be willing to help with Serve on Host Family committee Thanksgiving Potluck (Fall) Spring Social Plan a special event Have you participated in the International Friendship Program before? * Yes No If so, for how long?