>>Visitor Application – Bloomington Worldwide Friendship

Last Name *

Your Family Name

First Name *

Your Given Name

Your IU Email *

Your email as assigned by IU or another email if you prefer

Your Home Country *

What country do you come from?

Your Bloomington Address

Where are you living in Bloomington such as an apartment name and address, a dorm name, a street address?

Gender *

Male
Female
Other

Phone number

Give us a way by which we may talk to you such as your cell phone number.

Date of Birth

MM/DD/YYYY

Your Academic Status *

Undergraduate
Graduate Studies Student
Visiting Scholar
Other

What is your major or academic field of interest?

If you are in the Intensive English Program (IEP), at what level are you enrolled?

How long have you been in the United States?

How long do you plan to be at IU?

Do you have a spouse or a partner with you in Bloomington? *

Yes
No

Do you have children with you in Bloomington? *

Yes
No

Children's ages

Eg: Boy/5, Girl/3

Please state any food restrictions that you may have? (allergies, vegetarian, vegan, pork, beef, dairy, other) *

Please check the box if you smoke.

Smoker

Are you allergic to or afraid of pets that might be in the home that you might visit? *

Outside of school what are your interests?

To best match you with people who have some of the same interests as you do, what are your hobbies? How do you spend your free time.

Checking the box below acknowledges that we may use the information provided to match you with a community ambassador and that we may pass the information on to the ambassador to whom we match you. *

Acknowledge

How did you hear about BWF?

Such as an Orientation session, a friend, Facebook, the BWF Website, etc.