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Friendship Family Program - Student Form
This form is for incoming international students at Northwest College to use in order to be matched with a Friendship Family in the Powell community during your time here.
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Part 1: Contact information
Full Name
*
Your answer
Preferred name (if different than above, e.g. "nicknames").
Your answer
Email
*
Your answer
Address at NWC (e.g. 31 Ashley Hall)
*
Your answer
U.S. Phone number
Your answer
Birthdate
MM
/
DD
/
YYYY
How do you prefer your Friendship Family to contact you?
*
Facebook
Email
Text/call
What's App
Other:
Part 2: Information to get to know you
What is your home country & city?
Your answer
How long do you plan to be at NWC?
1 semester
1 year
2 years
Clear selection
Have you ever been to the United States before? If yes, please explain:
Your answer
Have you previously studied in the United States? If yes, please explain:
Your answer
What languages do you speak?
Your answer
What countries have you lived in?
Your answer
What is your religious affiliation? (OPTIONAL)
Your answer
Would you prefer a friendship family with the same religious affiliation?
Yes
No
It doesn't matter
Clear selection
Please list any foods you DO NOT eat or dietary preferences that your family should be aware of:
Your answer
Please describe your hobbies and interests:
Your answer
What do you think you might enjoy doing with your friendship family? (Outdoor activities, sports, music, games, cooking, etc.)
Your answer
Do you already have contact with any person or family in/near Powell? (Do not list other students). If yes, please list their names and contact information:
Your answer
Do you prefer a friendship family without house pets?
Yes
No
It doesn't matter
Clear selection
If yes to the previous question, is there a specific type of pet/animal that would be a problem for you? (Please list any/all)
Your answer
Do you prefer a family with young children?
Yes
No
It doesn't matter
Clear selection
Is there any other information that you think your friendship family should know about you?
Your answer
Join our Facebook community!
https://www.facebook.com/groups/nwcfriendshipfamilies
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