IHP Student Registration Form
Please complete this form if you are an international student requesting an IHP Host Family.

IMPORTANT NOTE: Because of the large number of students and limited number of host families, assignments from this point are not guaranteed a host family.  Assignments are made on a first come, first serve basis.

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Semester and Year *
Last/Family Name *
First Name *
Current Address in the U.S. *
U.S. phone# *
Home Country *
Email Address (SIUE email is preferred) *
Gender *
Marital Status *
Major at SIUE *
Program Level *
What is your current vaccination status? *
Special Interests (e.g. music, travel, food and so on) *
Do you have any diet restrictions or allergies? *
If you have diet restrictions or allergies, please list below:
Are you willing to share something about your home country with community groups?
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