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Intercultural Office

Friendship Family Application - For Families



Names:


Email Address:


Children's names and ages
: (ex. Scott-9, Amanda-6)


Home Address:


Messiah Box #
(if applicable)

Home Phone Number:

Work Phone Number:

Cell Phone Number:

Occupation(s):


Is there a student (or students) at Messiah College with whom you already have a connection?




If Yes, Please Provide Name(s):


If you have any international experience or countries that you have an affiliation with, please describe:


We are able to host two students over:





Our family would connect best with:





Language(s) spoken at home:


What activities or hobbies do you and your family enjoy?
(Check 4-5 that apply.)

Biking Bowling Cooking
Church Activities Fishing Gardening
Golfing Hiking Movies
Musical Activities Reading Shopping
Sports Events Theatre / Acting Volunteering
Technology Travel  


How much time do you anticipate spending or being in touch with your friendship student(s)?





Anything else about yourself or your family that could help us in the matching process?
(e.g. pets, anyone in your family who smokes, etc.)