Viaa Exchange Student Housing Form

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Viaa Exchange Student Housing Form

This housing form was developed for participants of Viaa Exchange. Viaa Exchange is a joint venture of ��͹��Ƶ and Viaa. This form provides Viaa with information that is necessary to place Viaa Exchange students wiht a host family in Zwolle or Hattem.

ATTENTION!

This form will also be sent to your host family. Although we do our best to find you a placement that meets your preferences, if we are unable to do so, we will consult you before matching you with a host family.

NORTH AMERICAN STUDENTS

Students should submit the housing form by May 1 with their other application materials.

QUESTIONS

If you have any questions about housing arrangements and/or this form, please email David Lee at David.Lee@dordt.edu.

If you would like to make changes in your housing form after you are accepted as a student on Viaa Exchange, please contact VIAA. You can reach our office by telephone or email until Thursday December 16. If you have an urgent remark or question, call instead of email (+11-31-4255542). If you have urgent remarks or questions you would like to share with us December 16-January 4 (Christmas Break), please use the emergency phone number provided to you in an email from VIAA after you have been accepted as a student on Viaa Exchange. After January 4, there will be someone available at the International Office again.

VIAA will send you an email as soon as you have been matched to a host family. We prefer to do this before the Christmas Break, but this is not always possible. Keep an eye on your inbox and feel free to contact your host family as soon as you have received their contact information. Most host families love to get in touch with you before your arrival!

Personal Information

First Name

Nickname

Last Name

Date of Birth

Nationality

Gender Male Female

Email Address

Postal Address

Home Phone:

Please write below a brief letter of introduction to your host family. Your letter should include information about you, your family, your studies, your reasons for going on Viaa Exchange and your hopes and expectations for your time in The Netherlands.

Housing Information

Use five words to describe yourself:

Use five words to describe the people you would like to live with:

My hobbies are:

My vocational goals are:

Describe your knowledge of Dutch:

Do you smoke? No Yes

Would you prefer a home where the family members do not smoke? No Yes, because:

Do you have any food or pet allergies, or any other diet or pet preferences we should take into account? No Yes, namely:

Do you have any physical or mental limitations that your host family should know about? No Yes, namely:

Would you like your host family to practice Dutch with you? No Yes

A few host families may have space for two students. If you would like to stay with a roommate, please list your roommate preference:

Do you have friends or acquaintances you would like to live close to? If so, please list their names:

Housing Family Options

First Choice Family with older kids (12+ yrs) Family with younger kids (0-12 yrs) Couple with no kids (born, or at home) Single Person

Second Choice Family with older kids (12+ yrs) Family with younger kids (0-12 yrs) Couple with no kids (born, or at home) Single Person

How do you feel about living with a single person (a host mom or a host dad)?

My day usually begins at:

My day usually ends at:

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Find Your Program

Giving to Dordt

Viaa Exchange Student Housing Form

ATTENTION!

NORTH AMERICAN STUDENTS

QUESTIONS

Personal Information

Housing Information

Housing Family Options