Student Hospitality Program

Your names*:

Street Address*: City*: Zip*:

Email*: Primary phone*: Secondary phone:

Please provide the name of your son or daughter if they attend Evangel:

Church you attend:

Your occupations:

Indicated your gender preference of the adopted students.

Female Male No Preference

Please mark the category or categories your family is willing to host.

• Frequent hosting of students for a monthly meal in our home.
  Please tell us the number of students you are willing to host:
• Encouraging a student by periodically taking him/her to a restaurant for a meal or an activity
  (e.g. sporting event, movie, etc.).
• Hosting students for special occasions like Thanksgiving or Easter.
  Please tell us the number of students you are willing to host:
• Common interests like sports, hobbies, TV shows (e.g. golf, ethnic, American Idol).
  Please indicate your interests:

Please fill in a specific subject or major such as business, pre-med, pre-law, education, psychology, other or no preference:

Please note that there are often students who do not have transportation and may need your assistance.

* denotes required field

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