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International
Winter Break Host Family Application
Winter Break Host Family Application
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International
Welcome International Graduate Students!
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Welcome!
Winter Break Host Family Application
Please don't fill out this input box.
Family Information
First Name
*
Last Name
*
Address
*
Personal Email
*
Cell Phone
Marital Status
*
Single
Married
List names and ages in immediate family who live with you and their relationship to you.
*
General Information
How did you hear about us?
*
Trine Website
Trine Faculty/Staff
Friends/Family
Social Media
Church
Other
What is your field of occupation?
*
Please list hobbies and things you and your family are interested in:
*
Please share why you are interested in hosting an exchange student.
*
Would you be able to drop off and pick up your student from Trine before and after their classes?
*
Yes
No
Would you be able to take your student on an excursion during Labor Day Weekend?
*
Yes
No
What other activities do you envision for the two weeks you are hosting this student?
*
Personal Information and Preferences
Do you smoke?
*
Yes
No
Do you have any pets? If so, please list:
*
What do you hope to get from the Short Term Host Family Program?
*
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