Host Family Expression of Interest 2016

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* 1. Name:

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* 2. Address:

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* 3. Email:

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* 4. Mobile:

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* 5. Students at ISB and grade levels:

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* 6. Employer:

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* 7. Expected time in Thailand:

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* 8. Do you have a spare bedroom?

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* 9. Language(s) spoken at home:

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* 10. Have you had prior experience hosting an exchange student?

Yes

No

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* 11. Please explain why you would like to act as a host family for a scholarship student?

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* 12. Are there any special circumstances we should be aware of?