Michigan State University

Friendship Family Program

Student Application
Today's Date Fields marked with an asterisk (*)
indicate required fields
Your Name
Family (Last): Birthdate: (mm/dd/yyyy)
Given (First): Gender: Male Female
Contact Information
Home Phone: Cell Phone:
*MSU Email: Other Email:
Preferred method of contact: Best times to contact you
Local Address
Street:
City: Zip Code:
Background Information
Home country Languages you speak:
Are you married? Yes No Is your spouse here? Yes No
Will he/she be joining you? Yes No If yes, when? (mm/dd/yyyy)
Name of Spouse:
Family (Last):
Given (First):
Please list any children or additional members of your household
(Name, Age, Gender)
Please use a separate line for each member
Academic Information
Major: Degree level:
Arrival Date: (mm/dd/yyyy) Your Final Semester:
About You
Interests/Hobbies:
Please say something about yourself:
Why would you like a Friendship Family?
Do you have any food restrictions?
Is a family with pets okay? Yes No
Do you smoke? Yes No Do you have a vehicle? Yes No

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