Name _________________________________________________________________
Male/Female ___________________________________________________________
Address _______________________________________________________________
City and State __________________________________________________________
Zip Code ______________________________________________________________
E-mail ________________________________________________________________
Home Country/State__________________ Languages __________________________
Major ___________________________ Graduate/Professional___________________
Student ID No:__________________________________________________________
Phone Number & Best Time to Call:
Home _____________________ From ___________________ To ________________
Work/Cell__________________________ From_______________ To ______________
Address and Phone Number is Valid (date):
From __________________________________ To _____________________________
The
I am willing to help:
Any new international student: YES/NO
Or International Students ONLY From These Countries: ________________________________________________________________________
I am willing to:
Allow students to stay with me temporarily: YES/NO
If yes, How many students?______ Male/Female_________ For How long? _________
I
would NOT like to offer accommodation but would like to be a buddy when the international students
arrives in
If yes, for how many students?__________________ Male/Female__________________
Please
email this completed form to anahal@howard.edu
or fax it to ATTN:// Dr. Nahal
at 202-986-3551. You can also return the
form to Dr. Anita Nahal, Room 312, Graduate School
Annex III, 4th and