Friendship Family application for students

* = required field

The purpose of this questionnaire is to appropriately match new international students with families in the Luther and Decorah communities. This information will be kept confidential and will only be used for matching purposes.
Please indicate if you would like to be assigned a Friendship Family*
First Name*
Family name*
Home Address*
Postal Code (as applicable)
Home phone*
Cell phone
First Language*
Other languages spoken
Please indicate your preference about having a Friendship Family with pets*
Do you have pets at home and if so, what kind(s)? Is there a particular kind of animal that you don't like?
Do you have any serious illnesses, conditions, or allergies (i.e. food) that your Friendship Family should be aware of? Please list.*
Please select the top 3 activities that you enjoy:*
If Other please specify:
About you
(Please don't fill in this field.)
(Please don't fill in this field.)
(Please don't fill in this field.)
(Please don't fill in this field.)