EmailMe Form - Student Application

Family name/Surname *

Other names: *

Gender *

Male

Female

Age *

Address in Bath/Uni accommodation *

Email address *

Telephone Number *

Home country

Course of study

Special interests (hobbies)

Is there any food you can't eat? *

Are you happy to visit a home with pet animals? *

Yes

Are any of your friends signed up to the Host Programme? *

Yes

If you answered yes, please supply details.

Would you like to be hosted on Christmas day? *

Yes

Maybe

How frequently do you think you would like hospitality? *

Would you be willing to be hosted by a non-British family *

Would you be willing to be hosted by a single person? *

Would you prefer the family to have children? *

Are you married and would also like your family to be hosted? *

Yes

If yes, please provide details.

Do you suffer from travel sickness in a car? *

Yes

Any other comments?

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