2020 Amigo program - Metro Atlanta student application
Is this your first signup with AMIS?
Yes
No
Contact info
Salutation
Please select...
Mr.
Ms.
Mrs.
Dr.
Prof.
Rev.
First Name (required)
Nickname
Your informal name, or U.S. name
Last Name (required)
E-mail (required)
Secondary E-mail
Phone Number
Street address
City
State
Zip code
Tell us about yourself
Gender (required)
Male
Female
College or university (required)
Please select...
Agnes Scott College
American Intercontinental
Art Institute of Atlanta
Atlanta English Institute
Atlanta Metropolitan State College
Beulah Heights International University
Chattahoochee Technical College
Clark Atlanta University
Clayton State University
Columbia Theological Seminary
DeVry University
ELS Language Centers
Emory University
Georgia Institute of Technology
Georgia Perimeter College
Georgia State University
Herzing University
Interdenominational Theological Center
Kaplan University
Kennesaw State University
Life University
Mercer University
Morehouse College
Morris Brown College
Oglethorpe University
Southern Polytechnic State University
Spelman College
OTHER - not listed
Academic degree
Examples: Bachelor, MBA, PhD, BS, MPH, MD
Field of study
Examples: Engineering, Biology, Undecided
Work background, if any.
Mostly a question for graduate students.
When did you arrive in the U.S.?
Example: 6/1/2016 (Estimate is fine)
When will you leave Atlanta?
Example: 12/1/2019 (Estimate is fine)
Home country?
Please select...
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burma / Myanmar
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (keeling) Islands
Colombia
Comoros
Congo - DRC
Congo-Brazzaville
Cook Islands
Costa Rica
Cote D'ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-bissau
Guyana
Haiti
Heard Island And Mcdonald Islands
Holy See (vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts And Nevis
Saint Lucia
Saint Pierre And Miquelon
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and S Sandwich Is.
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard And Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
UK - England
UK - N.Ireland
UK - Scotland
UK - Wales
Ukraine
United Arab Emirates
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis And Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Visa status
F1 Degree
J1 Exchange
Other
Dietary restrictions
Example: no pork, vegetarian
Do you have a spouse or children in America with you?
Yes
No. My spouse and/or children are not with me.
No. I am single.
Please explain (include names and ages of children).
What are your interests and hobbies?
Religion (optional)
What languages do you speak?
Do you have a car?
No
Yes
Birthday (optional)
Examples: 01/31/2000 or June 12
Terms and Conditions
You are 18 years of age or older.
By submitting this application to Atlanta Ministry with International Students, Inc. ("AMIS"), I hereby irrevocably and perpetually grant AMIS the right to take and use photographs, video and audio recordings, or digital images of me taken in connection with my participation in AMIS' programs or activities.
You release AMIS, its employees, representatives and agents from any and all liabilities for loss, injury, or damage to your person (as well family members) or property which may occur as result of your participation.
Please acknowledge and agree to the terms above
You should receive a confirmation email right after submitting this form. We will send another email once we have found an Amigo match for you. Thank you for reaching out. We'll try to provide fun and friendship.
Lead Status
Please select...
Applied
Matched
Interested
Lead Source
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Web
Phone Inquiry
Personal Referral
Purchased List
Other
Preferred phone
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Mobile
Home
Other
Student or volunteer
Please select...
Student
Volunteer
Contact Information