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Community Friend Application

Please return this form to:

Friends of International Students (FIS)
PO Box 145
Iowa City, IA 52244-0145 /

Or e-mail to:

FIS is affiliated with (ISSS) International Student and Scholar Services (319) 335-0335

Friends of International Students (FIS) provides international students with an opportunity to learn about life in the U.S.A. and acquaints local community members with life in other countries. FIS is organized by community volunteers. If you are interested in joining, please complete and return this form. Your responses will help us make the best match with a student. Please Print Neatly.

Primary Person [who will be meeting monthly with student(s)]Full Name ______Occupation ______

Address______City ______Zip ______

Phone ______E-mail______Gender ______Age ______

Please provide the following information on all family members in your household, including yourself (use an additional piece of paper if necessary)

Name
Relationship
Gender
Age
Occupation

Please list interests and hobbies of you/family. ______

If you have pets, please list types. ______

Preferences (FIS considers requests by Friends, however in an attempt to match all students who apply, your preferences may not be available.) _____ undergraduate _____ graduate _____ no preference

Other requests you would like considered (eg. vegetarian) ______

How many students are you willing to be matched with? ______
Would you be willing to have a married student or family? _____ Yes _____ No

How did you learn about FIS?______

Please provide two references we can contact:

Name______Telephone______E-mail ______

Name______Telephone______E-mail ______

As an organization affiliated with the University of Iowa, Friends of International Students (FIS) has a duty to protect students who participate in FIS programs. FIS does not release student information to third parties under any circumstances except as part of the Friend-Student matching program. FIS reserves the right to screen potential Friends. This screening process may include phone interviews, reference checks, and background checks. Each semester FIS offers an orientation program and a packet with resources to new Friends.

Signature______Date______