Name:

Phone Number:

Cell Phone Number:

Email:

Verify Email:

Mailing Address:

Room Address (If living in Residence Hall)

Class: Freshman Sophomore Junior Senior   School Arts and Sciences Architecture Art Business Engineering

Hometown:

Interests:

Other factors to consider when matching (ethnic or religious background, pet allergies, special dietary needs, etc..):

Would you like to share the same host family with some of your friends? If so, please provide up to 3 names:


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