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Northwest Missouri State University


FIS Student Application

* indicates required fields

*Family Name:
*Given Name:
English Name:
*Address:
Phone Number:
*Email Address: (Northwest email)
*Gender: Male   Female
Birth Date: (format: MM/DD/YYYY)
Home Country:
Languages Spoken:
Grade/Level: NUIS
Freshman (Year 1)
Sophomore (Year 2)
Junior (Year 3)
Senior (Year 4)
Graduate (Year 1)
Graduate (Year 2)
When did you arrive in the US?
When did you arrive in Maryville?
Are you an exchange student? Yes   No
How long is your program?
When do plan to graduate?
Are you married? Yes   No
Name of spouse:
Is your spouse living in the US? Yes   No
Do you have children? Yes   No
List your children's names and ages:
Where are your children living?
List any foods you dislike or cannot eat (religious reasons or allergies):
List hobbies and interests:

*What is your Friend preference?

Select 1 for your first preference, 2 for second, etc. While every attempt will be made to match you with a Friend who
shares your interests, your preference cannot be guaranteed.

1 2 3 4
No Preference
Single Friend
Friend without children
Friend with children
Are you allergic to animals? Yes   No
Which animals?
Do you have use of an automobile? Yes   No

List other information that might be helpful in matching you with a Friend.

Agreement
  • I give my permission to have this information released to my Friend and volunteers in the FIS Program.
  • I agree to be a Friend until May.  I understand that we will contact each other once a month from September to May.  My Friend will include me in some activities, so I can learn more about life and culture in the US, and I will invite my Friend to some cultural events.  I also agree to support activities planned for the Friends of International Students.
  • I have read and understand the guidelines (above) regarding the program and interacting with my Friend
*Legal Signature:

 

    


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