HomeInternational Student Services[Local Outreach] Programs[Local Outreach] Application Form International Student & Scholars Office INTERNATIONAL FRIENDS AND COMMUNITY CONNECTION FAMILY PROGRAM APPLICATION International Friends & Community Host Family Program Application Personal Information First Name * Last Name * Email * Home Phone * Cell Phone Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Section Please select your area(s) of interest: * Internation Friends Community Host Family Does anyone in your household speak a foreign language? Yes No Please explain Single Person Family * Yes No Family Relations Name Relation Age Gender plus1 Add Family Member minus1 Remove Do you have any indoor pets? * Yes No Please explain * Does anyone in your household have any international travel experience? * Yes No Please explain * Have you previously hosted an international student or students? * Yes No Please indicate your interests by checking all that apply * Movies Bowling Shopping Gardening Miniture Golf Cooking Playing a musical instrument Technology Religious observation (church, temple, mosque, Synagogue, etc.) Going to the theatre Attending symphony performances Volunteering Attending American football/basketball/soccer games Watching American football/basketball/soccer games on TV Hiking Fishing Biking Golfing Roller Blading Please feel free to list any other leisure activities, community activities, or sports/nature activities that interest you: Please share any other experiences or interests that would help us get to know you better, and could help us match you with a student. Please indicate your preferences: * A one semester student A four year student Male Female Please indicate a country preference, if any: How did you hear about the UT International Friends and Community Host Family Programs? * Please add any comments, concerns, requests, or restrictions below. Character References Please provide 3 character references and their contact information: Name * Relation Email Phone plus1 Add Reference minus1 Remove Submit
