International Friends Program Application

Personal Information

1. I am a: Please select one Community member Community member with family International student International student with family International visiting scholar International spouse
2. Full Name:
3. Gender: Please select one Male Female Other
4. Date of Birth: (MM/DD/YYYY)
5. Country of Citizenship:
6. Country of Birth:
7. Email Address:
8. Local Street Address:
   
9. Local City:
10. Local Zip Code:
11. Campus Box Number:
12. Home Phone Number:
13. Work Phone Number:
14. Your status (in relation to Duke): Please select one Undergraduate Graduate student Visiting scholar Community member International spouse
    If you're an undergraduate, year and major:
    If you're a graduate student, department or school:
    If you're a visiting scholar, department or school:
    If you're a community member, occupation:
15. Are you a member of a specific faith/religion: Please select one Yes No
    If yes, which one:
16. Do you have any allergies: Please select one Yes No
    If yes, please specify:
17. Do you smoke: Please select one Yes No
18. Do you have your own transportation: Please select one Yes No

Application Information

18. Why have you decided to apply to participate in the International Friends Program:
    
19. Have you ever participated in the International Friends Program or any other culture/friendship exchange programs before: Please select one Yes No
    If yes, please tell us a little about that experience:
    
20. Please write a brief description of yourself and your family:
    What is most important to you? What are your hobbies and interests? Community and professional affiliations (religious, civic, etc.), international interests and background. Please take your time in filling out this question, as this information will be used in making your match and will be shared as introductory background information for your match.
    
21. How did you hear about the program: Please select one International House web site Email Newspaper International House staff Friend