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Friendship Partner Sign-up
Name
Gender
Male
Female
Address
City
State
Zip
Phone
E-mail
Do you have any children?
Yes
No
If so, how many?
1
2
3
4
5
6
More than 6
Home Country
Native Language
Religion
College
Major
Degree
B.A.
B.S.
Masters
Ph.D.
Do you have a car?
Yes
No
How long did you stay in the USA?
Expected return date to home country
Address in home country
Host Family Preference
Family with children
Single Person
Retired Couple
No Preference
Would you like to practice English with your Host Family?
Yes
No
Hobbies, Interests
Any Dietary Restrictions, or Time Constraints
Friendship Partner
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