Trip Participant Questionnaire
June 9-June 22, 2011
1. Your name, age, and year in school:
2. Name, age, and year in school/occupation of your family members:
3. Address, phone number, and e-mail address:
4. Your hobbies:
5. Your favorite subjects in school:
6. What are you hoping to gain through your homestay experience?
7. What are you hoping to gain through your experience at Hakuoh High School?
8. How long have you been studying Japanese? How would you describe your language skills?
9. Have you traveled outside the US? If so, please explain.
10. Do you have any allergies or other health issues? Special dietary needs? If so, please explain.
11. What would you like your host family to know about you?