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Alumnae/i Host Program Profile Form

Thank you for your interest in the Host Program. Please take a few moments to tell us about yourself so that we can match you with a student. This form must be submitted to the Office of Alumnae/i Affairs .

	Name

	Class of

	Address

	Primary phone

	Secondary phone

	Email

	Do you authorize us to release your address and phone number to your student?
	yes No

	Would you prefer a female or male student, or do you have no preference?
	Female Male No preference

	If necessary, would you be willing to be matched with more than 1 student?
	yes No

	Please share your college major as well as any activities in which you participated as a student.

	Do you have any special interests or hobbies that you would like to share with your student?

	Do you have a preference regarding religious orientation?

	Would you be willing to host an international student? (Please list a preference for nationality if you have one.)

	Would you be willing to open your home to a student during a special holiday or college break?

	Any restrictions on our selection process (i.e. health considerations such as allergies or smoking)? Do you have any pets that might affect a student's allergies?

	Any other information you would like to share that would assist us in making a "good" match (i.e. where you are originally from)?