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Support, Disability, & Counseling Center


International Student Host Family Program - Host Family Application

First Name:

Last Name:


Marital Status:



Do you have a preference in regard to nationality / age / language / gender for the student you would like to host?    

If yes, please explain:

Do you speak a second language?

If yes, what language?

Are you willing to provide transportation for the student you will be hosting?

Do you have children?

Do you have pets?

Would you be willing to host more than one student? 

If yes, how many students would you be willing to host?

Please check your preference for how often you would like to meet with your student:

Would like to meet once a week

Would like to meet once every two weeks

Would like to meet once a month

Would like to meet less than once a month

No preference

What activities do you most enjoy?

If other, what?

Any other information that will help us make a good match for you?


If you have any questions please feel free to contact us at:

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