International Students Inc. - Bloomington-Normal, Illinois
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Supper Club Sign-Up Form
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Indicates required field
Name
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First
Last
Gender
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Male
Female
Status
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Single
Married
Spouse's Name - if applicable
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Children's Names & Ages - if applicable
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Address
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City
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Zip Code
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Phone Number
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I give permission to receive text reminders about Supper Club and other international student events.
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Yes
No
I give permission to International Students Inc. to use my picture in future Supper Club promotions.
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Yes
No
Email
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Church Attended
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I would like to participate as...
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A Host (providing the home and food)
A Facilitator (providing side dishes and transportation for students to the host's home))
Either role is OK with me!
I am willing to participate in a group later in the year for students who sign up late. (e.g. students arriving in Jan.)
If you host, how many students could you take into your home? (We suggest 3-4.)
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Do you have any special housing conditions to be aware of (e.g. pets)? Please specify.
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The Supper Club dates for the 2019-2020 school year are:
Sunday August 25th - Large group kick-off dinner
Sunday September 8th
Sunday October 13th
Sunday November 10th
Sunday December 8th
Sunday January 12th
Sunday February 9th
Sunday March 8th
Sunday April 12th
*These dates can be flexible
if all of your group participants are in agreement
to meet on a different date*
I am aware of the Supper Club dates and am available to participate on all of those evenings as scheduled or with small adaptations.
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Yes
No
Other comments...
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If this is your
first time
hosting with Supper Club, please list one reference that we may contact.
This should be someone in a leadership position in your church.
Name
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Address
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Phone Number
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Email
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Questions or Comments
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Submit