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Host Family Application
(If you are a student and would like to participate in the Host Family program, click here for the Student Host Family Application.)

A host family should invite the international student at least once a month for dinner or a family outing.  We also encourage the host family to include the student in their holiday celebrations.  Please submit the form below if you would like to be a host family.


Host Family Application
Date of Application:
Name:
Address:
Telephone:
E-mail:

Affiliation w/ Canisius College:

Special interests and/or hobbies of family members:

Names and ages of children:

Foreign countries family members have visited:

Foreign languages spoken:

Are you interested in a male or female student?
  No Preference
  Female
  Male

If you prefer a student from a specific country or area, please state your preference.

Would you be willing to invite student to celebrate your holidays?
Yes   No

If you have any questions, please contact our office at (716) 888-2784. Thank You!