FFIS New Member Application

Date:

Please give the Names, dates of birth, and Occupations of all household members:
Name: D.O.B.: Occupation:
Name: D.O.B.: Occupation:
Name: D.O.B.: Occupation:
Name: D.O.B.: Occupation:

Address: City: ZIP:

Home phone: Work phone(s):

Email:

Referred by:

Church reference:

Leisure time activities (hobbies, sports, cultural, etc.):

Countries visited:

PROGRAMS: Please indicate if you would like to participate in the following programs and activities.

You will be asked to attend an orientation prior to participating in one of these programs.

STUDENT PREFERENCE Your gender preference will always be assured. There are a limited number of couples and families and more students from Asia than other areas of the world, so your country preference may not be guaranteed.

Country or Area:

No Preference Male Female Couple Couple With Children

Comments or suggestions?


Please be advised that Names of people who volunteer to be friends of international students may be submitted to a state law enforcement agency for a records check.