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Student 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 an alumna/us from the Baltimore area. This form must be submitted to the Office of Alumnae/i Affairs.

	Name

	Birthday

	Address

	Primary phone

	Cell Phone

	Email

	Do you authorize us to release your address and phone number to your host alumna/us so that he/she may reach you during the summer?
	yes No

	Will you have a car on campus during the fall semester?
	Yes No

	What are your academic interests? If you have an idea of what you might like to do after graduation, please share those with us as well!

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

	Would you like to share your religion with your alumae/i? If so, please identify your religious affiliation.

	Do you anticipate ever needing a home for special holidays or college breaks?

	Any restrictions on our selection process (i.e. health considerations such as allergies to pets or smoking)?

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

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