Trinity United Methodist Church

Adopt-A-Student

HOST FAMILY INFORMATION FORM

To participate in the Trinity Adopt-A-Student program, complete this form and click "SUBMIT."  The team will meet to review forms to pair you with available students who have similar interests as far as possible.  Please, no requests for a specific student.  It is our plan to pair 2 students with a family when possible.

I'll take 2 students!

Yes No, one's enough

Husband:

Name
Date of birth (MM/DD/YYYY)
Address (residence)
School
Degree
Year degree was obtained
Job/Profession
e-Mail address
Telephone No.
How long at Trinity
Areas of active service

          Enter your interests and hobbies in the space provided below:

 

Wife (Complete only those items that differ from "Husband"):

Name
Date of birth (MM/DD/YYYY)
School
Degree
Year degree was obtained
Job/Profession
e-Mail address
Telephone No.
How long at Trinity
Areas of active service

           Enter your interests and hobbies in the space provided below:

Children:

Names
Age range

 

Louis Buettner, M.D..
Copyright © 2004 [Trinity United Methodist Church, Tuscaloosa]. All rights reserved.
Designed: October 04, 2006 .