U.S. and Overseas Representative Opportunities

	Foreign Representative Responsibilities
	Foreign Representative Inquiry Form

Foreign Representative (non U.S.) Pre-Application

Personal Information
* Name (First/Last):
* Home Address:
* City:
* Postal Code:
* Country:
* Home Phone (include country and city codes):
* Business Phone:
* E-mail Address:
Are you representing yourself or an organization?
(if representing self, please skip the next section)

Organization Represented
Organization name:
Business address:
City:
Postal Code:
Country:
Business phone (include country and city codes):
Business FAX (include country and city codes):
Web Site:
Type of organization (check all that apply): (hold down the ctrl button to select multiple values)
If other:
Types of programs offered (check all that apply): (hold down the ctrl button to select multiple values)
If other, please describe:
Is your organization organized as a non-profit agency?
Number of years in business:
Current or most recent U.S. partner (leave blank if none):
Reason for interest in changing partners:
Is your program able to place American high school students in host families?

Recognizing that P.I.E. offers only semester and year academic homestay programs for high school students between the ages of 15-18 years, would you like a package of informational materials sent to you?
If yes, would you prefer the materials to be sent to your home or business address?