IFYE-TAIWAN Registration Form｜4-H Taiwan Host Family System

Delegate Information

This information will be kept confidential and forwarded to your host families only.

Program*

First name*As shown in passport

Last name*As shown in passport

Date of birth

Country*

Passport No.

Gender

Male Female Other

Arrival date

Departure date

Cell phone

E-mail address*

Your occupation

T-shirt size (Asian size)

Social mediaInstagram, Facebook or LinkedIn

Address

Place of residence

City Small town Rural Farm

Highest educationHigh school, Vocational High School, Associate/Bachelor's/Master's Degree, Other

Details of education, training, and work experience

What are your future plans?

Language Skills

Medical History

Confidential: emergency support only. Please be comprehensive and include any details about diagnosed depression, anxiety, etc., for us to best support you during the program.

Do you have any allergies?List any allergens and treatment. For example: pollen, peanuts, cats, dust, crustaceans, and fruit.

Yes No

Dietary restrictions or preferencesFor example: vegetarian, gluten-free, vegan, no pork, kosher, halal, no shellfish. We will try our best to accommodate you.

Physical/mental conditions in addition to allergies (both mild and severe)

Family Information

In case of emergency, you prefer us to contact

Name

Relationship

Cell phone

E-mail

Address

Delegate Introduction

Specific agricultural interestsFor example: rice, livestock, horticulture, agricultural education

4-H background or Young Farmers background

What are your reasons for taking part in the IFYE program?

Particular things you would like to see / experience / study in TaiwanPlease give specific details, for example: cuisine, cultural events, activities, or attractions

Hobbies & cultural exchangePlease give specific details, for example: types of sports, music, and favorite movies

Introduction to your host familyAnything you would like to share with your host family. For example: a. Personal character: how would your friends describe you? b. Daily routine: are you a morning person or a night owl? c. Household participation: what chores are you willing to help with? d. Communication: what are you most excited to share about your culture?

Photos

Headshot photo*A small headshot of yourself (JPG/PNG)

Representative photos of yourselfPlease upload at least one photo of your daily life or your family (up to 6 photos).