| First Name (required) |
|
| Last Name (required) |
|
| Are you (required): |
Male
Female |
| Your home country (required) |
|
| Your course (required) |
|
| Your address
in Bradford (required) |
|
| Post Code |
|
| Phone Number |
|
| E-mail Address
(required) |
|
| Are there up to two
other students you might like to join up with, so you could all
visit a local household together? If so, please enter their details
below. As the requesting student it will become your responsibility
to keep the other students informed of any arrangements that are
made with your host. |
| Full
Name |
Course |
Home
Country |
|
|
|
|
|
|
|
|
| Because
your host may be preparing food for you please state below if there
are certain types of food and/or drink that you/your group wish
to avoid. |
|
|
| Are there
any dates at a weekend over the next four months you would be unavailable?
If so, enter the dates here: |
|
|
| |
|
