Elizabethtown College International Friendship Program
Host Application 2013-2014
Is this your first time volunteering to be friends an international student?
Yes _____
No ______
I would like to host a: New Student ______ Continuing Student ______ One Student ______ Two students ______
Name: _______________________________________
Home Phone #: ______________________________
Home Address: ________________________________
Email Address: ______________________________
Occupation (current or former): ___________________________________________________________________
Names and ages of children, if any, in your family: ____________________________________________________
What pets, if any, do you have? ___________________________________________________________________
Please indicate your preference for a student(s):
Male ______
Female: ______ No Preference: ______
International students at Elizabethtown College come from all over the world. Keeping that in mind, do you have
any preference for a specific geographic region or nationality? If yes, briefly explain why: _____________________
_____________________________________________________________________________________________
Do you speak any language other than English? If yes, please list: _______________________________________
_____________________________________________________________________________________________
Would you mind being partnered with a student(s) who smokes?
Yes ______
No ______
Activities and Experiences You Would Like to Share
What types of family activities would you enjoy sharing with an international students, such as (check all that apply)
Family events
Meals
Outings
Large family get-togethers
Holidays
Religious events
Other: _______________________________________________________________________________________
_____________________________________________________________________________________________
What community activities would you enjoy sharing with an international student, such as (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
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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 and your family that might be helpful in matching you with an international student?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Please list the names, addresses, phone numbers and relation to you of three people who will serve as reference for
you (this is for first-time International Friendship Program participant volunteers only)
Reference #1
Name: _____________________________________
Address: ___________________________________
Phone Number: ______________________________
Relationship: ________________________________
Reference #2
Name: _____________________________________
Address: ___________________________________
Phone Number: ______________________________
Relationship: ________________________________
Reference #3
Name: _____________________________________
Address: ___________________________________
Phone Number: ______________________________
Relationship: ________________________________
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!
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