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Contact Office of International Student Services (OISS)
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American Family Dinner Program - Student Information
Date:
Name:
*
Indianapolis Address:
*
Home Phone:
Cell Phone:
Best time to reach me by phone:
E-mail:
*
Email not valid.
Butler Arrival Date:
Expected Date of Graduation:
Gender:
Male
Female
Age:
Marital Status
Single
Married
If married, is your spouse here?
Yes
No
Area of Study:
Professional plans after graduation
Interests & Hobbies
Food that I may Not eat
Allergies (if any)
Do you smoke?
Yes
No
Do you drink alcohol?
Yes
No
Do you have a car at Butler?
Yes
No
When do you want to be invited?
Any time of the Year
University vacations
Weekends only
Any day of the week
Other comments