Student Friendship Partner Application
Please complete this form if you would like to develop an intercultural relationship with an American person or family for one year. Questions? Email Christa: christa.prism@gmail.com.
First Name:
Your answer
Last Name:
Your answer
Home Country:
Your answer
Gender:
Required
Age:
Your answer
Email:
Your answer
Phone #:
Your answer
Address:
Street Address, City, State, Zip
Your answer
Religion:
Marital Status:
If Married, is your spouse in Pittsburgh?
Do you have children?
If you have children, are they with you in Pittsburgh?
On what date did you arrive in Pittsburgh?
MM
/
DD
/
YYYY
Are you a student?
What is your student status?
If you answered yes to Student, which University do you attend?
Your answer
What is your field of Study?
Your answer
If you are not a student, what is your occupation in Pittsburgh?
Your answer
Do you have a car here?
Would you like to be matched with a:
Are you available to meet one time per month with your American Friend?
Required
Is there anything else you would like to tell us about yourself?
Your answer
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