Community Application Applicant name and family members: Date: E-mail Address: Address: City, State, Zip , ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Phone: Cell: Do you have pets? Yes No Indoor Outdoor What kind Do you speak any other languages? Yes No What languages? Please list any interests, hobbies, goals, or travel experiences that may help when matching you with an international student. Do you have a preference for your student? Yes No Please select your preference: Male Female Either Would you be willing to have more than one student? Yes No How many?