Canisius College - Family Application

ISP Community Family Application

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

Date of Application
First Name
Last Name
Address
City
State
Zip Code
Phone
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:
Are you interested in a male or female student?: No Preference Male Female
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