International Student/Scholar Application

International Friendship Program - NC State University

Name First Last
Home Country
Male/Female

Please enter your gender
Birth Date

Please enter your birth date in the format of mm-dd-yyyy
Age
Martial Status

Please enter if you are single or married
Arrival Date in U.S.

Please enter your arrival date in the format of mm-dd-yyyy
Return Date to Your Country

Please enter your return date in the format mm-dd-yyyy
Religion (Optional)
Status at NC State

Please choose from the following: Graduate Student Undergraduate Research Scholar/Professor Spouse
Field of Study/Research
Languages You Speak

Please separate each language with a comma
English Language Proficiency

Please choose from the following choices: Native Fluent Good Fair Poor
Do You Smoke?

Please enter Yes or No
First Time in Friendship Program?

Please enter Yes or No
Foods You Cannot Eat

Please separate each food with a comma
Any Allergies?

Please separate each allergy with a comma
Why Do You Want to Participate in the International Friendship Program?
Please Tell Us About Yourself

Your interests, hobbies (what you do in your free time), goals, travel experience, etc. Be specific and list as much as possible. This information will help in matching you with an american friend!!
If Married, Will Your Spouse Be With You in the U.S.?

Please enter Yes or No. If you are not married, please enter N/A
Will Your Spouse Be Participating in the Friendship Program With You?

Please enter Yes or No. If you are not married, please enter N/A
Spouse's Name First Last
What is Your Spouse's Arrival Date

Please enter spouse's arrival date in the format mm-dd-yyyy. If you are not married please enter N/A
Names, Gender, and Ages of Children

Please separate each child with a semi-colon
Raleigh Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Raleigh Phone (Day)

Please enter in the format off (###)###-####
Raleigh Phone (Evening)

Please enter in the format off (###)###-####
Raleigh Email
Home Country Adress
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
PLEASE READ CAREFULLY: Yes, I want to become friends with someone through the International Friendship program. I understand that my responsibilities include attending an orientation session, returning phone calls, emails, etc. from my friends and inviting my friend to various activities sponsored by the International Friendship Program, and completing an evaluation at the end of the year. I also understand that friendship partners can be all ages from students to senior citizens and include Americans as well as persons fro other countries who have lived in the US a long time. Friends may be single persons (please note that single persons will be matched with persons of the same sex), couples, and families. I understand that if I am uncomfortable or unhappy in my friendship, I can call the OISSS to request a different assignment at any time. I will respect the values customs and religions of my American friend. Agree