GKC PEOPLE TO PEOPLE - HOST APPLICATION

INT'L STUDENT HOST PROGRAM

HOST INFORMATION

First Name:
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Last Name:
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Spouse- First Name
Spouse- Last Name
Email Address:
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Address (Street Apt # etc):
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Address:
City:
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State:
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Zip Code:
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Home Phone
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Cell Phone
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Work Phone
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Occupation/Profession
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Spouse: Occupation/Profession
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Civic Group/Volunteer organization(s) you and your family members belong to:
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Interests Sports Activities Hobbies
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Children living with you (gender age- Ex: F13 )
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Children living separately but who will participate (gender age- Ex: M23 )
PREFERENCES (GKCPTP will try to match these criteria to the best of our ability)
School location- North (N) Central/Plaza (C) South (S) other (explain)
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Number of students you are willing to host simultaneously (1 2 3+ any)?
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Smoker (Y N or N/A if does not matter)
Preferred Languages Spoken or Country
Preferred Sports/Hobbies/Interests/Major
Have you participated in this program before? (Y or N) If Yes when?
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Please answer the following questions to better serve your needs:

1) What is the primary reason for you to enroll into this hosting program?

2) Have you ever hosted international students before? When and what program?
Disclosure: By submitting this form I certify that I am a GKCPTP member in good standing and I will
try my best to meet with the international student(s) 3-5 times or more during an academic year
and provide student(s) with the transportation to and from these meetings as needed.
Initial Here:
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Security code:
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