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International Friends-Community Member Application 
Application for Community Members
Last Name or Family Name *
First Name *
Gender
Street Address *
Telephone number *
Email address *
Occupation
Age Bracket *
Spouse/Partner's Last Name
Spouse/Partner's First Name
Spouse/Partner Phone Number
Spouse/Partner Email Address
Spouse/Partner Occupation
Will you and your spouse/partner both participate in the program?
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Age(s) and Gender(s) of Children
Do you have a religious or church affiliation?
Please list some of your interest, hobbies, and talents. *
Do you or a family member smoke? *
Are you opposed to being matched with someone who smokes? *
Do you have pets in the house? If yes, please explain how many/what kind.  *
Which foreign country(s) have you lived in or traveled to? *
Do you speak any languages other than English? *
What level of a student/scholar's conversational English are you willing to work with? *
Please select your friend preference
How did you hear about the International Friends program? *
As volunteers, we agree to embrace a sensitivity to, and appreciation of, the religious, cultural, and national backgrounds of international participants and a proper regard for confidential personal information that may be offered by international and American participants. In addition, we agree to maintain high standards of personal conduct, to resist pressures (personal, social, financial, religious, and political) to use our influence inappropriately. 

Do you agree to adhere to FCIC's policy regarding product solicitation, proselytizing and political views?
 *
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