If you are interested in staying with a student host, please provide the following info:
Date of Interview:_______________
Number of Nights Staying:___________
Travel Info (with Flight Numbers if available:
Arrive:___________________________________
Depart:__________________________________
On Friday evenings, the host committee holds a dinner out at a local restaraunt to provide student the opportunity to mingle outside of the school/interview setting. If you will be staying Friday evening, you are welcome to attend.
___Yes, Count me in! ____ No Thanks.
Would you prefer a male or female host:
_____Male ______Female _______ No Preference
Do you have any allergies (pets, etc.): ________________
Please send a check payable to "Interview Host Program" in the amount of $25 PER NIGHT to the following address:
Corenthian Booker
1705 N 49th St.
Omaha, NE 68104
Email This form back to:
[email protected]