sorry but now its even more confusing
1) Last Name: - dfghdfghdfg 2) Host Mother’s Name: - hfdghdfhg 3) Host Father’s Name: - dsdfsdf 4) Date of Birth: - 04/21/1985 -------------------
5) Date of Birth: - 04/13/1985 6) Address - Street Address - sdfsdf 7) Address Line 2 - sfs 8) City - abbotsford 9) State/Province/Region - bc -------------------
10) Zip/Postal Code - v3s6h4 11) Country - Canada 12) Home Phone: - (456) 456-4564 13) Email - adnanhz@gmail.com 14) Fax: -------------------
15) 1.) 16) 2.) 17) 3.) 18) 4.) 19) What languages does your family usually speak at home? - jfhgjfghj -------------------
20) If yes, student’s name: 21) Yes - Yes 22) No 23) Would your family prefer to host a male, or female exchange student? - Male 24) Would your family prefer to host a student from a specific country? - Yes -------------------
25) If yes, which country? - hgf 26) Does anyone smoke in your home? - fghj 27) Would you accept a student that smokes? - gfhj 28) Briefly describe why your family would like to host an exchange student:
fgj
29) Please list your family’s hobbies or recreational activities.
gj
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30) If yes, which religion? - gfjh 31) How would you describe your family’s religious activity?
fgj
32) How would your family feel about hosting a student with different religious beliefs, or one with no religious affiliations?
fgjfhg
33) What household chores or responsibilities would you expect of your exchange student?
ghjfg
34) If yes, please list:
gfhjfg
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35) Which high school would you like your exchange student to attend? - jfghjfg 36) What is the approximate distance between your home and the high school? - jfgjhfg 37) If yes, please describe:
ghjgfhj
38) If yes, please describe:
ghjfghj
39) Does your family have a religious affiliation? - Yes -------------------
40) Would your student share a bedroom? - No 41) Do you keep any pets in your home? - Yes 42) Would your exchange student have access to a quiet study area in your home? - Yes 43) Does anyone in your household have a serious or chronic illness, disability, nervous or mental disorder? - No 44) Has anyone in your household undergone major surgery for a condition which may recur? - No -------------------
45) If yes, please describe:
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46) If yes, please describe:
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47) Has anyone in your household experienced an alcohol-related problem? - Yes 48) Does anyone in your household have a criminal record? - Yes 49) Occupation: - ghjgfhj -------------------
50) Work telephone number: - (476) 756-5674 51) Employer: - hgdhdgf 52) How long have you worked here? - 54 53) Occupation: - dfhdfhd 54) Work telephone number: - (567) 457-4567 -------------------
55) Employer: - ghdhdhdfg 56) How long have you worked here? - dfhg 57) Name - First - fdgh 58) Name - Last - fgh 59) Address - Street Address - fgh -------------------
60) Address Line 2 - fgh 61) City - fgh 62) State/Province/Region 63) Zip/Postal Code - fgh 64) Country - Fiji -------------------
65) Phone - (546) 434-5634 66) Name - First - fghg 67) Name - Last - hdf 68) Address - Street Address - dfhg 69) Address Line 2 - fgh -------------------
70) City - fgh 71) State/Province/Region - fgh 72) Zip/Postal Code - fgh 73) Country - Belarus 74) Phone - (604) 456-4567 -------------------
75) Name - First 76) Name - Last 77) Address - Street Address 78) Address Line 2 79) City -------------------
80) State/Province/Region 81) Zip/Postal Code 82) Country 83) Phone 84) Name - First -------------------
85) Name - Last 86) Address - Street Address 87) Address Line 2 88) City 89) State/Province/Region -------------------
90) Zip/Postal Code 91) Country 92) Phone 93) Name - First 94) Name - Last -------------------
95) Address - Street Address 96) Address Line 2 97) City 98) State/Province/Region 99) Zip/Postal Code -------------------
100) Country 101) Email 102) Phone 103) LETTER FROM THE HOST FAMILY:
ghjgfhjgfhjfghjfghj
104) Yes - Yes -------------------
105) No 106) I would like to host for - Five Month