Student Form: Getaway Family Program
Student Form

Thank you for your interest in participating in the Getaway Family program organized by the English Language Institute at Renison University College. We look forward to matching you with a family!  In order to find a match that is best for you, please take 5-10 minutes to fill out the following form.

If you have questions as you fill out the form or at any time in the matching process, please feel free to contact the organizers of the pilot program: Christine Gillies (cgillies@uwaterloo.ca) and Bethany Dixon (bethany.dixon@uwaterloo.ca).

Your answers to these questions will be kept confidential and will be used only for the purposes of matching you with a family that best fits you.
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Email *
First and Last Name *
Birthday (day, month, year) *
Home country/countries *
Languages you speak besides English *
How did you hear about the Getaway Families program? (Who told you about it?)
In which semester(s) would you like to participate in the Getaway Family program? Check all that apply. *
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