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Post-Acceptance Forms

Housing: Strasbourg, France

Please Note:

Use the TAB key or your mouse to move between fields. Hitting the ENTER key will submit the form.

Photo

All students are required to supply a photo. This photo should clearly show a full face, front view and open eyes.

Select Photo:

Program information

Country

Program

Semester

Fall

Spring

Summer

Year

Personal Information

First Name

Last Name

Age

Sex

Male

Female

Home Address

Home University

Major

Housing Preferences

What would you like your new hosts to know about you?

Do you have any special interests or hobbies?

Dietary/Medical Concerns

Please list any medical or dietary restrictions or other circumstances that may affect your placement in Syracuse/Strasbourg-arranged housing.

Vegetarian:

Yes

Specific foods you cannot or will not eat:

Allergies:

Yes

Specific Details:

Other Medical Requirements:

Please list any allergies (e.g. to food, pets, smoke)

Do you smoke?

Yes

Do you mind living in a home where one or more of the family smokes?

Yes

In France, many families have pets; do you mind living in a home with pets?

Yes

Do you feel that internet access and/or wireless is something you feel you cannot live without?

Yes

Do you intend to go out often and travel or do you plan on staying home and spending time with your host family?

Host families like to know how independent or involved with the host family students wish to be. Would you prefer to be placed with a host family that wants a good deal of interaction with the student or would you like to be much more independent?

Have you studied French?

Yes

For how long?

Have you studied German?

Yes

For how long?

Other language you have studied

For how long?

Would you mind living with another student from the Syracuse program?

Yes

Would you mind living with a student from another program?

Yes

Would you mind living with a French student or a student of another nationality?

Yes

If you have any special concerns about your placement (such as religion, age of children or host family, marital status), please note them here:

Please indicate any special housing needs you may have during the group travel portions of the program

Please write a short "Dear Family" letter to your host family telling them a little about your interests and your personality. French families appreciate it when you include information on the occupations of your mother and father.

In submitting this form, I understand that, in an effort to achieve an appropriate homestay situation for students, SU Abroad may share this form (or the information on this form) with my host family.