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International Student & Scholar Services
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*  To be a Host Family please Complete the form:

Last (family) Name
First Name
Middle Name

Male Female

Single
Married If married, spouses name
Children If checked, specify ages


E-mail Address
Telephone


*Present mailing address
Street
City
State
Zip Code


Annual Membership dues for Host Families: $10 per family.
Please make checks payable to IHP and return them to the address below.

IHP
P.O.Box 1616
SIUE
Edwardsville IL,62026

For special contribution to support IHP,  please have the amount through checks payable to IHP and return them to address above.

Thank You!



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