ࡱ> ceb` Gbjbj 8X,LLLLLLL`8,`*vZT$N*P*P*P*P*P*P*,ha/lP*iL-%T"v-%-%P*LL*A'A'A'-%XLLN*A'-%N*A'A')LL* 0˵p%)N**0*),/y&p/*/L*<P A'b!>"P*P*&X*-%-%-%-%``` $```$```LLLLLL If you experience any problems submitting this form electronically, please print it out and either mail or fax it. Our mailing address and fax number may be found at the end of the form On behalf of the State of Ohio, the Ohio Department of Development, The University of Shizuoka, and the government of Saitama, Japan, the Institute for Japanese Studies at The Ohio State University is pleased to have the opportunity to host several different delegations of Japanese groups. The groups needing host families either on the weekend or evenings are: Shizuoka Health Sciences English Program (weekend June 20 July 20) University students from Shizuoka prefecture Saitama-Ohio Internship Program (evenings or weekends, July 16-August 17) Two individuals in the Saitama-Ohio Internship Program Shizuoka Summer English Program (weekend of August 8-10 or August 15-17) University students from Shizuoka prefecture If you are able to host return this form to the Institute for Japanese Studies at 614-292-3345 and  HYPERLINK "mailto:stucky.7@osu.edu" stucky.7@osu.edu or the Japan-America Society of Central Ohio at 614-292-4002 and  HYPERLINK "mailto:jasco@osu.edu" jasco@osu.edu.  FORMTEXT       Please tell us a little bit about you and your family: Name:  FORMTEXT        FORMTEXT       Name of Spouse:  FORMTEXT       (first) (last) (first) Occupation (you):  FORMTEXT       Occupation (spouse):  FORMTEXT       Names and Ages of Children:  FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT    (first) (age) (first) (age)  FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT    (first) (age) (first) (age) Home Address:  FORMTEXT       (street)  FORMTEXT       (city, state zip) Phone (home):  FORMTEXT       Phone (cell):  FORMTEXT       Email:  FORMTEXT       Do you have pets?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If so, what kind?  FORMTEXT       Describe your major hobbies and interests:  FORMTEXT       I am willing to host for the following time periods:  FORMCHECKBOX  June 20-22  FORMCHECKBOX  June 27-29  FORMCHECKBOX  July 18-20  FORMCHECKBOX  July 25-27  FORMCHECKBOX  August 1-3  FORMCHECKBOX  August 8-10 (need many hosts this weekend!)  FORMCHECKBOX  August 15-17 or if you prefer evening times please specify dates preferred:  FORMTEXT   R S ' ( Z a n   T d f g < ·¨œœœ˨œ˨zrzrfrjhVCJUaJhVCJaJhS {hVCJaJhVB*CJaJphfhS {hVB*phfh4hV5CJaJhS {hVB*CJaJphfhV5CJaJo(hV5CJaJhVhVCJOJPJQJ^JaJ$h4hVCJOJPJQJ^JaJhV56CJ\]aJ"s ' ( m  f P x z 3#&#$$d%d&d'd+D/NOPQgdV^gdV & F hh^hgdVgdV$a$gdV $7$8$H$a$gdV8EG< > @ ` b , . 0 J L P R f h j t v x z ̺̥|cTEhRshVCJOJQJaJh0MhVCJOJQJaJ0jh#QhVCJOJU^JaJmHnHu/jh#QhVCJOJQJU^JaJ h#QhVCJOJQJ^JaJ)jh#QhVCJOJQJU^JaJ#jh[chVCJUaJhVCJaJh[chV0JCJaJjhVCJUaJ#jh[chVCJUaJz 0rt6.VXZ3#&#$$d%d&d'd+D/NOPQgdVgdV >@TVXbdhz|Ȯڔڄw]ڔڄNBNhVCJOJQJaJhRshVCJOJQJaJ2jh#QhV>*CJOJQJU^JaJhV>*CJOJQJaJhWhV>*CJOJQJaJ3jh#QhV>*CJOJU^JaJmHnHu2j(h#QhV>*CJOJQJU^JaJ#h#QhV>*CJOJQJ^JaJ,jh#QhV>*CJOJQJU^JaJhWhVCJOJQJaJ(*48:NϵϨ}nbn}VD#h#QhV>*CJOJQJ^JaJhVCJOJQJaJhVCJ OJQJaJ hRshVCJ OJQJaJ hVCJOJQJaJhRshVCJOJQJaJhWhV>*CJOJQJaJhV>*CJOJQJaJ3jh#QhV>*CJOJU^JaJmHnHu,jh#QhV>*CJOJQJU^JaJ2jh#QhV>*CJOJQJU^JaJNPR\^d|ϵϨ~dHϨ8hdhV>*CJOJQJaJ7jh#QhV>*CJOJQJU^JaJmHnHu2jh#QhV>*CJOJQJU^JaJ#h#QhV>*CJOJQJ^JaJhVCJOJQJaJhVCJOJQJaJhV>*CJOJQJaJ3jh#QhV>*CJOJU^JaJmHnHu,jh#QhV>*CJOJQJU^JaJ2jh#QhV>*CJOJQJU^JaJ   "68:>@DFZμΈyhμNΈhμ2jh#QhV>*CJOJQJU^JaJ hRshVCJOJQJ^JaJhV>*CJOJQJ^JaJ3jh#QhV>*CJOJU^JaJmHnHu2jnh#QhV>*CJOJQJU^JaJ#h#QhV>*CJOJQJ^JaJ,jh#QhV>*CJOJQJU^JaJhVCJOJQJaJhRshVCJOJQJaJZ\^hjnpr.0JL`ϳϤρgϳYK:K:K:Yρ hRshVCJ OJQJ^JaJ hVCJ OJQJ^JaJ hVCJOJQJ^JaJ2jh#QhV>*CJOJQJU^JaJ#h#QhV>*CJOJQJ^JaJ hRshVCJOJQJ^JaJhV>*CJOJQJ^JaJ7jh#QhV>*CJOJQJU^JaJmHnHu,jh#QhV>*CJOJQJU^JaJ2jVh#QhV>*CJOJQJU^JaJ`bdnptvxϳϤρgϳϓρMϳϤρ2j,h#QhV>*CJOJQJU^JaJ2jh#QhV>*CJOJQJU^JaJ#h#QhV>*CJOJQJ^JaJ hRshVCJOJQJ^JaJhV>*CJOJQJ^JaJ7jh#QhV>*CJOJQJU^JaJmHnHu,jh#QhV>*CJOJQJU^JaJ2j@h#QhV>*CJOJQJU^JaJ:HrϳϥxfLϳ=xfhV>*CJOJQJ^JaJ2jh#QhV>*CJOJQJU^JaJ#h#QhV>*CJOJQJ^JaJhVCJOJQJ^JaJhVCJ OJQJ^JaJ hRshVCJ OJQJ^JaJ hVCJOJQJ^JaJ7jh#QhV>*CJOJQJU^JaJmHnHu,jh#QhV>*CJOJQJU^JaJ2jh#QhV>*CJOJQJU^JaJ6BNRThjlvx|ϳϡtftϡLϳ=tftϡhV>*CJOJQJ^JaJ2j h#QhV>*CJOJQJU^JaJhVCJOJQJ^JaJhVCJOJQJ^JaJhVCJ OJQJ^JaJ h0MhVCJ OJQJ^JaJ #h#QhV>*CJOJQJ^JaJ7jh#QhV>*CJOJQJU^JaJmHnHu,jh#QhV>*CJOJQJU^JaJ2jh#QhV>*CJOJQJU^JaJ*,HJLVXtϳϤτjϳϤX@XX/jf h4hVCJOJQJU^JaJ#jhVCJOJQJU^JaJ2j h#QhV>*CJOJQJU^JaJ#h#QhV>*CJOJQJ^JaJhVCJOJQJ^JaJhV>*CJOJQJ^JaJ7jh#QhV>*CJOJQJU^JaJmHnHu,jh#QhV>*CJOJQJU^JaJ2jz h#QhV>*CJOJQJU^JaJtvx.0DǹvZK6% h#QhVCJOJQJ^JaJ)jh#QhVCJOJQJU^JaJhV>*CJOJQJ^JaJ7jhSVhV>*CJOJQJU^JaJmHnHu2jR hSVhV>*CJOJQJU^JaJ#hSVhV>*CJOJQJ^JaJ,jhSVhV>*CJOJQJU^JaJhVCJOJQJ^JaJhUCJOJQJ^JaJ#jhVCJOJQJU^JaJ/j h4hVCJOJQJU^JaJDFHRTV+,ҹҨyayyLyy4/j& h0MhVCJOJQJU^JaJ)j hVCJOJQJU^JaJ/j> h0MhVCJOJQJU^JaJ#jhVCJOJQJU^JaJhVCJOJQJ^JaJo(hVCJOJQJ^JaJ h#QhVCJOJQJ^JaJ0jh#QhVCJOJU^JaJmHnHu)jh#QhVCJOJQJU^JaJ/j h#QhVCJOJQJU^JaJ9Vs<<z< ===>>>>>?x???3#&#$$d%d&d'd+DL/NOPQgdVgdV,-9:HIJVWefgst߯ߗjYA/jjh#QhVCJOJQJU^JaJ h#QhVCJOJQJ^JaJ)jh#QhVCJOJQJU^JaJ/jh0MhVCJOJQJU^JaJ/jh0MhVCJOJQJU^JaJ/jh0MhVCJOJQJU^JaJ/j h0MhVCJOJQJU^JaJhVCJOJQJ^JaJ#jhVCJOJQJU^JaJ      I prefer the gender of the Japanese person(s) to be:  FORMCHECKBOX  Female  FORMCHECKBOX  Male  FORMCHECKBOX  Either If you indicated an interest in hosting a female visitor, would you host a male?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Do you or any family member smoke?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Would you host someone who smokes?  FORMCHECKBOX  Yes  FORMCHECKBOX  Yes, if he/she smokes outside  FORMCHECKBOX  No Would you be willing to host more than one guest at a time?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Will your guest have his or her own bedroom?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Please briefly describe your guest s living space:  FORMTEXT       Are there any special rules or observances that your guest should know about regarding your home and family life?  FORMTEXT       Thank you for your interest in hosting a Japanese guest. Please return this application to: Institute for Japanese Studies The Ohio State University 306 Oxley Hall, 1712 Neil Avenue Columbus, OH 43210  Tel: 614-292-3345 Fax: 614-292-7589 E-mail:  HYPERLINK "mailto:stucky.7@osu.edu" stucky.7@osu.edu     2008 Summer Program Host Family Application Form Institute for Japanese Studies, 306 Oxley Hall, 1712 Neil Avenue, Columbus, OH 43210 Tel: 614-292-3345 Fax: 614-292-7589 Email:  HYPERLINK "mailto:stucky.7@osu.edu" stucky.7@osu.edu website: http://.japan.osu.edu < < <<<z<|<<<<<<<<<<<<<< =====꾭u]E/jhWhVCJOJQJU^JaJ/jThWhVCJOJQJU^JaJ/jhWhVCJOJQJU^JaJ#jhVCJOJQJU^JaJhVCJOJQJ^JaJ hSVhVCJOJQJ^JaJ h#QhVCJOJQJ^JaJ0jh#QhVCJOJU^JaJmHnHuU)jh#QhVCJOJQJU^JaJ========>>N>P>l>n>p>z>|>>>>>>>> ? ????6?ǯǞdžnǞV/jhSVhVCJOJQJU^JaJ/jhSVhVCJOJQJU^JaJ/j$hSVhVCJOJQJU^JaJ hSVhVCJOJQJ^JaJ/jhWhVCJOJQJU^JaJhVCJOJQJ^JaJ#jhVCJOJQJU^JaJ/j<hWhVCJOJQJU^JaJ6?8?:?x?z??????@@:@<@>@H@J@f@h@j@r@t@@@@@@@@AǯǞdžnǞV/j^hWhVCJOJQJU^JaJ/jhWhVCJOJQJU^JaJ/jrhWhVCJOJQJU^JaJ hSVhVCJOJQJ^JaJ/jhSVhVCJOJQJU^JaJhVCJOJQJ^JaJ#jhVCJOJQJU^JaJ/jhSVhVCJOJQJU^JaJ?r@t@$A&AAAABBB~CCCC:DbD3#&#$$d%d&d'd+D/NOPQgdV3 #&#$$d%d&d'd+D`/NOPQgdVgdVAAA$A&AAAAAAAAAABBBBBBBBǶǡx_ǡG_/jh#QhVCJOJQJU^JaJ0jh#QhVCJOJU^JaJmHnHu/jJh#QhVCJOJQJU^JaJ h#QhVCJOJQJ^JaJ)jh#QhVCJOJQJU^JaJ hSVhVCJOJQJ^JaJhVCJOJQJ^JaJ#jhVCJOJQJU^JaJ/jhWhVCJOJQJU^JaJBB~CCCdDfDDDDDEEE4E6EĹ|eKe7e'h4hV0JCJOJQJ]^JaJ2j6h4hVCJOJQJU]^JaJ,jh4hVCJOJQJU]^JaJhVCJOJQJ]^JaJ7jh4hVCJOJQJU]^JaJmHnHu#h4hVCJOJQJ]^JaJhVOJQJ]^J&h4hV6CJOJQJ]^JaJ&hSVhV6CJOJQJ]^JaJ&hSVhV6CJOJQJ]^JaJbDdD8EEBEDEHEJENEPEEE^FGGGG$a$gdV$a$gdVgdV6E8E:E>E@EDEFEJELEPEEEEFFFFGGG>G@GLGGGGGGÿ}ujhVhLCJaJhLCJaJh4hL0JCJaJ#jh4hLCJUaJjh4hLCJUaJhLCJaJo(h4hLCJaJhLhVhLCJOJQJaJh hLCJOJQJaJhWyjhWyU#hVhVCJOJQJ]^JaJ6&P1h:py/ =!"#$% DyK stucky.7@osu.eduyK Hmailto:stucky.7@osu.eduyX;H,]ą'cDyK jasco@osu.eduyK Bmailto:jasco@osu.eduyX;H,]ą'cvDText21tDText4tDText5tDText3tDText6vDText24tDText7tDText8tDText9vDText10vDText11vDText12vDText13vDText14vDText15vDText16vDText17vDText18vDText19vDeCheck14vDeCheck15vDText20vDText22tDeCheck1tDeCheck1tDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck4vDText23tDeCheck5tDeCheck6tDeCheck7tDeCheck8tDeCheck9vDeCheck19vDeCheck20vDeCheck16vDeCheck17vDeCheck18vDeCheck10vDeCheck11vDeCheck12vDeCheck13vDText22vDText22DyK stucky.7@osu.eduyK Hmailto:stucky.7@osu.eduyX;H,]ą'cDyK stucky.7@osu.eduyK Hmailto:stucky.7@osu.eduyX;H,]ą'cD@D NormalCJ_HaJmH nHsH tHDA@D Default Paragraph FontRiR  Table Normal4 l4a (k(No List6U@6 V Hyperlink >*B*ph4@4 VHeader  !4 @4 VFooter  !Xs'(mf\I9:alkl 9 V s  % & [ ! 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