Elizabethtown College International Friendship Program
Student Application 2013-2014
Is this your first time applying for the International Friendship Program?
Yes _____
No ______
Are you 18 years old or above?
Yes _____
No ______
Name: __________________________________________ Mobile #: __________________________________
Campus Mailbox #: ________________________________ Email Address: ______________________________
Elizabethtown College Major/Minor: _______________________________________________________________
Academic Year: Freshman ______
Sophomore: ______
Junior: ______
Senior: ______
What country and city do you come from? ___________________________________________________________
Please indicate your preference for the kind of family you would like to connect with? (check all that apply)
Family with young children
Family with older children
Older family
Younger family
Individuals without children
Couples without children
Special preference: _____________________________________________________________________________
Would you mind being partnered with a family who smokes indoors? Yes ______
No ______
Would you mind being partnered with a family who has a cat(s)?
Yes______
No ______
Would you mind being partnered with a family who has a dog(s)?
Yes ______
No ______
Would you mind being partnered with a family who has other pets?
Yes ______
No ______
(birds, gerbils, rabbits, snakes, fish, etc.)
Would you mind being partnered with a family of another faith tradition than you?
Yes ______ No ______
Please indicate your preference for being partnered with a family that maintains a special diet (check all that apply)
No special dietary needs
Vegetarian
Vegan
Halal
Kosher
Food Allergies
If you selected ‘Food Allergies’, please indicate all food allergies you currently have: ________________________
_____________________________________________________________________________________________
Do you have any other allergies? Please list: _________________________________________________________
_____________________________________________________________________________________________
Do you speak any language other than English? If yes, please list: _______________________________________
_____________________________________________________________________________________________
OISS
KAS 4/12/13
Activities and Experiences You Would Like to Share
What types of family activities would you enjoy sharing with a friendship family? (check all that apply)
Family events
Meals
Outings
Large family get-togethers
Holidays
Religious events
Other: _______________________________________________________________________________________
_____________________________________________________________________________________________
What community activities would you enjoy sharing with a friendship family? (check all that apply)
Outdoor Activities
Cultural Activities
Community Events/Entertainment
Biking
Art
School Events
Boating/Canoeing
Dining
Farmer’s Markets
Camping
Government/Politics
Wildlife
Fishing
Historical Places
Local Fair/Carnival/Parade
Golf
Museums
Movies
Hiking
Musical Concerts
Shopping
Skiing
Theatre
Small Business/Industry
Other: _______________________________________________________________________________________
_____________________________________________________________________________________________
Do you enjoy watching and/or playing sports? If yes, which sports? ______________________________________
_____________________________________________________________________________________________
Is there any additional information you believe might be helpful for the Office of International Student Services to
know about you that might be helpful in matching you with a friendship family?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
The Director of International Student Services at Elizabethtown College will review all international student and
International Friendship Program volunteer applications to ensure that the friendship assignments are well-matched.
Once friendship assignments have been made, participant volunteers will receive the name and contact information
of their international student by mail. The participant volunteer may then call, email or write to the international
student to begin their friendship.
Thank you for your application and your willingness to serve as a participant volunteer in the
International Friendship Program at Elizabethtown College.
Please return this application form as soon as possible to:
Kristi Syrdahl, Office of International Student Services, Elizabethtown College
Email syrdahlk@etown.edu with any questions!
OISS
KAS 4/12/13