UNCW Host Family Program

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UNCW Host Family Program Host Family Application
Name _____________________________ Address
___________________________ _____________________
______________
Best Number to Reach You ____________________
E-mail Address ___________________________

____________________

____________________
Your answers to the following questions will help
us in placing you with a student. 1.) Please
indicate the names of the people in your family
and the age (s) of any children 2.) Please
briefly describe your occupation (and that of
your spouse). 3.) What are your
hobbies/interests? What activities do you
enjoy? 4.) Do you have any pets? If so,
please list. 5.) How did you become aware
of the Host Family Program?
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6.) Why would you like to host an international
student? 7.) Please list your
international interests (e.g. which countries
have you visited? Do you speak a foreign
language?) 8.) Please indicate any
preferences you have regarding the nationality
and gender of your international student.
(Please note it may not be possible to
accommodate preferences.) 9.) From time to
time we have requests from students for short
home-stays (e.g., hurricanes, Thanksgiving
break). Would you consider housing a student for
a short period? __________________________
_____________ Signed by Date Please
return this form to Jennifer Fernandez-Villa,
Director, International Student Scholar
Services, Office of International Programs,
University of North Carolina Wilmington, 601
South College Road, Wilmington, NC 28403-5965 /
phone [phone] / fax [phone] / email
fernandezvillaj_at_uncw.edu For Office Use
Only Placement ________________________________
_______ Date_________________________ Active
__________ __________ __________
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