Park University International Student & Scholar ISI Interest Form

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Park University International Student & Scholar ISI Interest Form - 2023 -2024

Email *

Record my email address with my response

First Name *

Last Name *

Family Name

Gender *

Are you living on Campus at Park Univ.? *

Yes

If you are living off campus, what is your full street address?

Email Address *

The best email address for us to use

Please re-confirm Email Address *

Cell Phone Number if you have one:

If you don't have one, just type - NONE

WhatsApp number:

Home Country *

Country where you were born

Religion (optional)

Year of Birth *

What are you interested in? *

Check any or all that you want to participate in

American Friendship Partner Program

Social Activities

International Student Fellowship

Other:

Required

Your Immediate Needs - Would you like assistance with:

Acquiring a US based SIM card

Opening a US Bank Account

Bi-Monthly Grocery Shopping

Other:

Clear selection

Liability Release Form *

In appreciation and consideration of ISI affording me the opportunity to participate in the event/activities in this school year, I agree that I participate in this event/activity solely at my own risk. I waive, release and agree to hold harmless ISI, its agents, employees and volunteers from any and all property damage, personal injury or other claims of whatever nature made by myself or others related to my participation in this event/activity.

Yes

No (ISI will not allow participation in our events)

Media Release Form *

I give International Students, Inc. (ISI) permission to use or reuse any and all photo images and/or video images for illustration, training, website, promotion, or for any other purpose that fits within the mission, purpose and/or on-going program of ISI. Additionally, I give ISI, its representatives and those acting under its authority the absolute right for use of images. I understand that my electronic response represent that I have read and fully understand the above statements.

Yes

No (Please kindly step out of group photos and tell us when you don't want to be photographed.)

Comment or Question

Submit

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