Address (Street, Apt#, City, State, Zip Code)
Occupation and Educations - This information helps us match hosts and students with similar professional or academic goals when possible
About you - hobbies/interests, community/organizations, etc.
Would you be more comfortable with male or female student?
Household information (if you have more than 1 housemate over the age of seventeen, please email [email protected] with the following information on each individual).
Spouse/Housemate First Name
Spouse/Housemate Last Name
Spouse/Housemate Middle Name
Spouse/Housemate Occupation and Educations
Name and Ages of Children Living at Home
Name and Ages of Children not living at home
Personal References - Please provide information for two personal references. One reference must be a church pastor/leader.
Reference 1 First Name
Reference 1 Last Name
Reference 1 Phone Number
Reference 1 Email
Reference 2 First Name
Reference 2 Last Name
Reference 2 Phone Number
Reference 2 Email
Any other information you would like to share?