* Life at Home
Helpคู่มือการทำ
1. Please tell us about your parents. Fill out all information that applies:
Your Mother
Name:
Occupation:
Work Phone:
Home Phone:
Email:
Your Father
Name:
Occupation:
Work Phone:
Home Phone:
Email:
2. Do you have any brothers or sisters?
NO, I do not have any brothers or sisters. I am the only child.
YES, I have one or more siblings.
3. What language is spoken in your home? (Check all that apply.)
Abkhazian
Afan (Oromo)
Afar
Afrikaans
Albanian
Amharic
Arabic
Armenian
Assamese
Aymara
Azerbaijani
Bashkir
Basque
Bengali,Bangla
Bhutani
Bihari
Bislama
Breton
Bulgarian
Burmese
Byelorussian
Cambodian
Cantonese
Catalan
Chinese
Corsican
Croatian
Czech
Danish
Dutch
English
Esperanto
Estonian
Faroese
Fiji
Filipino
Finnish
French
Frisian
Galician
Georgian
German
Greek
Greenlandic
Guarani
Gujarati
Hausa
Hebrew
Hindi
Hungarian
Icelandic
Indonesian
Interlingua
Interlingue
Inuktitut
Inupiak
Irish Gaelic
Italian
Japanese
Javanese
Kannada
Kashmiri
Kazakh
Kinyarwanda
Kirghiz
Korean
Kurdish
Kurundi
Laothian
Latin
Latvian,Lettish
Lingala
Lithuanian
Macedonian
Malagasy
Malay
Malayalam
Maltese
Mandarin
Maori
Marathi
Moldavian
Mongolian
Nauru
Nepali
Norwegian
Occitan
Oriya
Pashto,Pushto
Persian (Farsi)
Polish
Portuguese
Punjabi
Quechua
Rhaeto-Romance
Romanian
Russian
Samoan
Sangho
Sanskrit
Scots Gaelic
Serbian
Serbo-Croatian
Sesotho
Setswana
Shona
Sindhi
Singhalese
Siswati
Slovak
Slovenian
Somali
Spanish
Sundanese
Swahili
Swedish
Tajik
Tamil
Tatar
Telugu
Thai
Tibetan
Tigrinya
Tonga
Tsonga
Turkish
Turkmen
Twi
Uigur
Ukrainian
Urdu
Uzbek
Vietnamese
Volapuk
Welsh
Wolof
Xhosa
Yiddish
Yoruba
Zhuang
Zulu
Other
4. What other languages do you speak? (Check all that apply.)
Abkhazian
Afan (Oromo)
Afar
Afrikaans
Albanian
Amharic
Arabic
Armenian
Assamese
Aymara
Azerbaijani
Bashkir
Basque
Bengali,Bangla
Bhutani
Bihari
Bislama
Breton
Bulgarian
Burmese
Byelorussian
Cambodian
Cantonese
Catalan
Chinese
Corsican
Croatian
Czech
Danish
Dutch
English
Esperanto
Estonian
Faroese
Fiji
Filipino
Finnish
French
Frisian
Galician
Georgian
German
Greek
Greenlandic
Guarani
Gujarati
Hausa
Hebrew
Hindi
Hungarian
Icelandic
Indonesian
Interlingua
Interlingue
Inuktitut
Inupiak
Irish Gaelic
Italian
Japanese
Javanese
Kannada
Kashmiri
Kazakh
Kinyarwanda
Kirghiz
Korean
Kurdish
Kurundi
Laothian
Latin
Latvian,Lettish
Lingala
Lithuanian
Macedonian
Malagasy
Malay
Malayalam
Maltese
Mandarin
Maori
Marathi
Moldavian
Mongolian
Nauru
Nepali
Norwegian
Occitan
Oriya
Pashto,Pushto
Persian (Farsi)
Polish
Portuguese
Punjabi
Quechua
Rhaeto-Romance
Romanian
Russian
Samoan
Sangho
Sanskrit
Scots Gaelic
Serbian
Serbo-Croatian
Sesotho
Setswana
Shona
Sindhi
Singhalese
Siswati
Slovak
Slovenian
Somali
Spanish
Sundanese
Swahili
Swedish
Tajik
Tamil
Tatar
Telugu
Thai
Tibetan
Tigrinya
Tonga
Tsonga
Turkish
Turkmen
Twi
Uigur
Ukrainian
Urdu
Uzbek
Vietnamese
Volapuk
Welsh
Wolof
Xhosa
Yiddish
Yoruba
Zhuang
Zulu
Other
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Please describe how well you speak each language selected above (e.g. Basic French, Fluent Russian)
5. Do you or your parents hold dual citizenship of your future host country?
NO, we do not.
YES, either me or my parents hold Citizenship of my future host country.
6. Tell us about your family: (do you live together, do you have pets, etc.)
7. Have you ever lived away from home (your parents) for more than 2 months?
NO, I have not.
YES, I have lived away from home for more than 2 months.
8. Please describe your experience with any household duties (cooking, cleaning, and so on):