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Communiversity Ambassador Program - Community Memeber Application
Contact Information
Family (Last) Name
First Name
Gender
Male
Female
Email Address
Phone Number
Local Address
Family/Home Life
Spouse Name (if applicable)
Name/Age/Gender of each Child (if applicable)
Number/Types of Pets
Allergies or Dietary restrictions
Languages you and your family speak
Countries you've lived in or visited and when
Interests/Activities (Check all that apply)
Music
Rock
Classical
Jazz
Country
Other
Reading
Biography
Sci-Fi
Novels
History
Nonfiction
Other
Instruments you play
Piano
Violin
Guitar
Drum
Other
Sports you watch or play
Soccer
Cricket
Jogging
Am. Football
Volleyball
Water Sports
Golf
Table Tennis
Skiing
Basketball
Swimming
Basketball
Tennis
Other
Outdoor Activities
Biking
Boating/Canoeing
Hiking
Fishing/Hunting
Camping
Other
Movies
Comedy
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Adventure
Romance
Sci-Fi
Thriller
Other
Other Interests
Singing
Theatre
Painting/Drawing
Cooking
Cards
Chess
Politics
Other
Hosting Preferences
Number of students you would like to host
Gender
Male
Female
No Preference
Marital Status
Married
Not Married
No Preference
Children
Student has children
Student does not have children
No Preference
Countries of Interest