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Community Host Application

Thank you for your willingness to welcome an international student to Columbia. The primary contact in the host family should complete the form below, noting that fields in bold are required. If an item is not applicable, complete it by entering "NA."

First Name
Last Name
email Address
Mailing Address
City/Zipcode	SC
Night Phone	Day Phone
Spouse's Name
Other Family Members' Names	Family Member 1
	Family Member 2
	Family Member 3
	Family Member 4
Tell us about other pertinent information about your family: languages spoken, countries visited, other international students, special interests, etc.: