Host Family Program Application for Students

Being a part of the Host Family Program gives international students the opportunity to make new friends, experience the family life of a local Richmond family, and contribute to greater understanding of other cultures by educating Americans about their home country. It is a supportive "home away from home" for international students.

* Indicates a required field

* First name:

* Family (last) name:

* UR campus telephone:

* UR email address:

* Nationality:


* Gender:

* Date of birth:

* Field of study:

* Are you (check all that apply:
Exchange Student

* Are you allergic to pets?
Yes No
If yes, which kinds?

* Do you like children?
Yes No

* Are you a smoker?
Yes No

* Are you a vegetarian, or do you have any dietary restrictions?
Yes No
If yes, please specify

* Do you speak other languages?
Yes No
If yes, which ones?

Favorite Foods

* What do you hope to gain through participation in this program?

* Please list hobbies

Is there anything in particular you would like to learn about Richmond, Virgina or a place you would like to visit during your time in the United States?