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Host Family Application for Students


Host Student Application
Date of Application:
Name:
Address:
Telephone:
Date of Birth:
Age:

Country of origin:

Primary language you speak:

Other languages you speak:

Do you have any brothers or sisters? If so, what are their ages?

Other countries you have visited:

Religious preference:

Length of time you have been in the United States:

Length of time you have been at Canisius College:

College Major:

What are your special interests or hobbies?

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