Indian Hills Community College
Student Application
Please email your completed application to internationals@indianhills.edu, or mail it to Indian Hills Community College, International
Affairs Office, Trustee Hall, 525 Grandview Avenue, Ottumwa, IA 52501.
INTERNATIONAL FRIENDSHIP PROGRAM
GENERAL INFORMATION
Last Name
First Name
Current Address
City/State
ZIP Code
Apt/Unit
E-mail Address
Phone
Preferred Method of Contact
HOST INFORMATION
Do you smoke?
Yes No
Are you allergic to any animals?
Yes No
If so, what?
Male or Female?
Male Female
What activities/hobbies do you enjoy?
Why do you want to be a part of the International
Friendship program?
PREFERENCES
Would you prefer to be partnered with another Indian
Hills Community College international student?
Yes No
EXPECTATONS
International Friendship program is a great opportunity for international students at Indian Hills Community College to
experience American life and culture outside the college setting. Likewise, it is also a great opportunity for the family to
learn about diversity and world cultures. As a participant in the program, we recommend you to meet with your family
at least one time a month and keep in contact with them throughout your time at Indian Hills Community College. Be
respectful and courteous to your family’s beliefs, values, and customs. Also, make sure you are on time to your events
and respond to your family’s messages.
SIGNATURE
Signature
Date