Host Family Request

Host Family Sign-Up Form

(*) denotes required information.
First Names: *
Last Name: *
Current Address
Street 1: *
Street 2:
City: *
State: *
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.