Friends and Family Community Member Application Friends and Family Program Community Member Application CONSENT TO BACKGROUND CHECK(Required) By checking this box, I authorize Washington State University to conduct a criminal background check on myself and any members in my household over the age of 18. Acceptance into the program is contingent on the results from the background check(s).Primary contact(Required) First Middle Last/family name Preferred name Preferred name Gender(Required) Female Male Other Prefer not to answer Partnership status(Required) Single Married/partnered In a committed relationship Name of spouse or partner if applicable First Last Primary contact email(Required) Phone(Required)Address(Required) Street Address City ZIP / Postal Code Please list the names, ages, and email addresses of anyone living in your household who is over the age of 18.If you have family pets or animals, please list what kind they are and if they are outdoor or indoor pets/animals.Please list your hobbies and interests.Student preference Male Female No preference I/we would like to be matched with: An undergraduate student A graduate student No preference I/we would like to be matched with: A single student An international family No preference Number of students you wish to be paired with:Special requestsAre you able and willing to drive within Pullman or have transportation to pick up your international student for outings? Yes, I am able and willing to drive Yes, I have access to transportation No, I am not able or willing to drive or provide transport I/we want to be in this program because:How did you hear about this program?EmailThis field is for validation purposes and should be left unchanged.