Friendship Family Student Application
What is today's date?
mm/dd/yyyy
Your Name
First:
Your Date of Birth mm/dd/yyyy
Last:
Male
Female
Local
Address
Street:
City:
Zip Code:
Home Phone
E-mail
:
What is your home country?
What languages do you speak?
Are you married?
Yes
No
If yes, is your spouse here?
Yes
No
Will your spouse be joiningg you?
Yes
No
If yes, when?
mm/dd/yyyy
Name of Spouse
First:
Last:
Do you have children here with you? If yes, please give names, age and gender.
First
Last
Age
Gender
First
Last
Age
Gender
First
Last
Age
Gender
What is your academic major?
Do You smoke?
Yes
No
What is your degree level?
What was your arrival date?
mm/dd/yyyy
When will be your last semester at MSU?
example:
200? (Fall) (Spring) (Summer)
What is your occupation in your home country?
Please say something about yourself to share with the family such as interests, hobbies.
Why would you like to have a Friendship Family?
:
Do you have any food restrictions?
:
Friendship Family Preferences (Check all that apply)
Single
Married
Young
Middle-aged
Senior
No Preference
With Children
Without Children
With Pets
Without Pets
No Preference
How often would you like to meet with your family?
Once a semester
Once a month
More Often
Is this your first time at an American university?
Yes
No
Do you have other family members/relatives living in Michigan?
Yes
No
Are you taking classes now at MSU for credit towards your degree?
Yes
No
Do you have a car ?
Yes
No
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Questions/Comments?
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