AMIGO Friendship Program Student Application


**Press tab after each entry.
Date:
Country of Origin:
Last Name:
First Name:
Atlanta Address:
City:
State ZIP:
Phone:
FAX:
E-mail:
Major:
College/University in GA:
Home Country Address:
Previous Educational/Professional Background:
Degree (BS, MS, PhD):
Religion (optional):
Dietary Restrictions:
Sex:
Civil Status:
If married, is spouse with you?
Spouse's First Name:
Your Birth Date:
No. of Children:
Ages:
What are your interests/hobbies?
What languages do you speak?
How long have you been in the USA?
How long will you stay in Atlanta?
Do you have your own transportation (car) here?
Additional Comments:
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