SIGN-UP FORM FOR FREE ACCOMMODATION
WITH A UW STUDENT

Please fill out this form and email it to Hanh Nguyen at htnguye1@students.wisc.edu.

Please note that the host student is responsible for lodging only,
and not meals, or transportation.

Your name:
Male/Female:
Smoking/Non-smoking:
Accommodation needed for the nights of:

Preferences for host:
Gender:
Smoking/Non-smoking:
Others: