International Friends - Community Application

Name and Gender*

Last/Family Name First/Preferred Name Gender (Male/Female)

Local Address (Street address, Apartment #, City and Zip code):*

Applicant's Information*

Preferred Telephone Number Occupation Email Address

Age Bracket*

20 - 30
31 - 40
41 - 50
51 +

Spouse/Partner's Name and Information

Last/Family Name First/Preferred Name Gender (Male/Female)

Preferred Telephone Number Occupation Email Address

Will you and your spouse both participate in the program?

Age(s) and Gender(s) of Children

What is your religious or church affiliation? (Optional)

Please list some of your interests, hobbies and talents.*

Smoking Preferences*

Do you or a family member smoke? Do you object to hosting a smoker?

Do you have pets in the house? If yes, please explain what kind.*

Which foreign country(s) have you lived in or traveled to?*

What language(s) do you speak?*

Please list the top 3 areas or nations of the world that interest you?*

Would you accept a student from another area/nation if your first three preferences are not available?*

What level of a student/scholar's Conversational English are you willing to accept?*

Select All
Very Limited
Adequate
Fluent

Please select your friend preference*

Select All
Male
Female
Couple
Family

Would you be willing to accept more than one student/scholar? (E.g., A pair of roommates/friends)*

Are you new to the International Friends program? How did you hear about it?*

I agree to adhere to FCIC’s policy regarding product solicitation, proselytizing and political views. See below for full statement.*

I understand and agree
I do not agree

As volunteers, we agree to embrace a sensitivity to, and appreciation of, the religious, cultural, and national backgrounds of international participants and a proper regard for confidential personal information that may be offered by international and American participants. In addition, we agree to maintain high standards of personal conduct, to resist pressures (personal, social, financial, religious, and political) to use our influence inappropriately.

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International Friends – Community Application

International Friends - Community Application