Your Custom Text Here International Friendship Program Student Application Name * First Name Last Name Age * Date of Birth * MM DD YYYY Gender * Male/Man Female/Woman Non-binary Two spirit Transgender Agender Another gender not listed Prefer not to say Preferred Pronouns He/Him/His She/Her/Hers They/Them/Theirs My pronouns aren't listed Prefer not to say Country of Origin * Language Spoken * Address in Home Country * Address 1 Address 2 City State/Province Zip/Postal Code Country Are You Married * Yes No Is family coming with you Yes No If yes, please provide their names and your relationship to them (e.g., partner, children, etc.) If you have children coming with you, please provide their ages. Expected Arrival Date MM DD YYYY Expected Departure Date MM DD YYYY Address in USA Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * Country (###) ### #### Email * Department at Brown or field of study Special Interest or hobbies Do pets bother you Yes No Are you allergic to animals Yes No Do you have any dietary restrictions Do you have a preference for the host/mentor's gender? If so, please specify your preference. Would you prefer being called before match is made? Yes No Will you have a car in the U.S. during your stay? * Yes No Information about yourself * In order for us to make the best placement for you with a host family please tell us a little about yourself Thank you!
