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With A College Student






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Host Application
Christmas International House, Harrisburg, Pennsylvania
Monday, Dec 18, 2007 to Tuesday, Jan2, 2008
Market Square Presbyterian Church
20 South S. Street
Harrisburg, PA 17101
If you would prefer to print the form and mail it to us, click here.

Host Name *
E-mail Address: *
Address *
City *
State *
Zip *
Phone
Cell
Office Name
Office Address
Office City
Office State
What is the preferred method of contact; mail, cell, office, etc.?
Names of other family members or guest living/visitng during Dec. 18th, 2007 to Jan 2nd, 2008?
Have you hosted International Students in the past? *
Hobbies and interests?
Religion
Language(s)
Do you have dogs/cats/other?
Are you available to host for the full two weeks? *
If you answered no to the above question, when are you available?
Other interests/information/comments?

* Required