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International Student Services
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Contact SIUE | 800.447.SIUE
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*  To get assigned a Host Family please Complete the form:

** To qualify for a host family, you must be accepted and registered as a student for the semester **

Last (family) Name
First Name
Middle Name

Male Female

Single Married Children

Home Country
E-mail Address
Telephone


*Present mailing address
Street
City
State
Zip Code


List any special interests / skills, music talents



Dietary restrictions your Host Family should know about



Are you interested in speaking to groups of people to tell them about your home country?
Yes
No

Field of Study at SIUE:

Graduate
Undergraduate




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