Local Friend Application

This program is designed to promote friendship and cultural exchange between local citizens and Appalachian's international population. As a host, you can help ease the international visitor's adjustment to living in our area while enjoying the exchange of international friendships and gaining a greater understanding of other countries, cultures, and customs. We are pleased that you are interested in helping our visitors have a richer experience during their time here in Boone. Before you complete this survey, please read the information at this link so that you are clear about the expectations of your involvement. Your information will be added to our database which will be used to match students/professionals with families in the area as the need arises. All of the personal questions below are intended to help us provide the best possible match. A staff member from the Office of International Education and Development may be in touch with you to follow up.

Today's date: *

Month

Day

Year

Last name: *

First name: *

Home address: *

City, state, zip: *

Email: *

Home phone: *

Daytime phone: *

Number of adults living in your home: *

Please list the names of the other adults in your home: *

Name(s) and age(s) of children living in your home:

What type of pets do you have in your home and/or on your property (for allergy purposes)? *

Are you or anyone in your family affiliated with Appalachian? *

Yes

No

If yes, please explain:

What are the occupations of the people living in your home? *

What are the hobbies and interests of people living in your home? (recreational, social, cultural, musical, religious, etc.): *

What language(s) are spoken by the people living in your home? *

How many miles is your home from the Appalachian campus? *

Do you attend religious services regularly?

Yes

No

Briefly describe what you hope to gain from your participation in this program: *

What type of guest would you like to host (info in the parenthesis refers to this person's typical length of stay in our area)? *

International Exchange Student (1-2 semesters)

International Degree Seeking Student (4 years)

International Visiting Faculty (1-2 semesters)

International Full-Time (Indefinitely)

Would you prefer to host a...? *

Male

Female

Either

Are you willing and able to accommodate someone with special needs such as a vegetarian diet, physical disability, food allergy, etc.? *

Yes

No

Are there special circumstances we should take into consideration when pairing you?

Such as sensitivity to smoking, major life events, etc. This information will remain confidential.

Please use the space below if you'd like to explain your answer above regarding special needs:

Has anyone in your household been charged with a criminal offense? *

Yes

No

Please use the space below if you'd like to explain your answer above regarding criminal charges:

Please provide the names, phone numbers, and emails for TWO references that we may contact (not relatives): *

How did you learn about the International Friendship Program? *