Host Family Sign-Up Form (*) denotes required information. First Names: * Last Name: * Current Address Street 1: * Street 2: City: * State: * Select a State Alaska Alabama Arkansas Arizona California Colorado Connecticut Washington D.C. Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missourri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Zip Code: * Phone Number: (Day:) * Phone Number: (Evening:) Email: * Please list your hobbies and interests: How many children do you have? What are your childrens' ages (if applicable)? Do you have pets? Yes If so, what kind of pets: Do you have any preferences for your assignment? * Male Female No preference Are you able to host 2 students? * Yes I prefer to host only 1 student Are there any limitations you want us to know about? Is there any other information that will help us make a good match for you? What does this image say? (click play button to hear the captcha) International Friends of Pittsburg is a volunteer community organization that works with PSU international students. Thank you for volunteering to be a host.