e
4. Personal Background
a. Do you have any dietary restrictions? Yes No If yes, please explain (e.g., vegetarian, food allergies):
b. Do you smoke? Yes No If yes for 4b, 4c, or 4d, please explain:
c. Do you drink alcohol? Yes No
d. Have you ever been involved with
illegal drugs?
Yes No
Answering yes will not automatically eliminate you as a candidate; however, it may require special consideration of host family
assignments.