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Host Program for International Students

Volunteer (host) Application

Please complete the application if you are interested in being a host in the Host Program for International Students. Submitting the application does not commit you to being a host. The coordinator of the Host Program will contact you once she has received your application to arrange a time to meet for an informal orientation.

Required fields are in red.

About You

First Name

Last Name

Address

Street 1

Street 2

City

State

Zip

How did you learn of the Host Program for
International Students?

Host Program E-mail Invitation
Harvard Affiliate
Harvard Resources

Home Phone

Cell Phone

Work Phone

E-mail Address

Confirm Email

Occupation

College/ University Attended

Year of Graduation from College

Do you have children?
Yes No

About Your Children
(Required if answered Yes)

Child #1
Age
Gender

Child #2
Age
Gender

Child #3
Age
Gender

Child #4
Age
Gender

Interests
(please list at least two)

Additional Interests

Languages Spoken
(other than English)

Do you have a spouse or partner?
Yes No

About the Spouse or Partner
(required if answered Yes)

Last Name

First Name

Phone

E-mail Address

Confirm Email

Occupation

College/ University
Attended

Year of Graduation
from this school

About Your Host Student Preference
Please select any particular type of hosting preference
(your preference may not always be available).

*Nationality/Region (please make at least one indication)

4 No preference

*Field of Study
(please make at least one indication)

4 No preference

*Would you prefer your student to be:
(please make at least one indication)

Single

with a spouse/partner

with a family (i.e. children)

No preference

Most students arrive from late July to early September.
When would you be available to welcome your student(s)?

Other Comments