HOST (Help Our Students Travel) - The HOST Program has helped hundreds of UW's fourth-year medical students find a friendly home while traveling for their residency interviews. The HOST program puts fourth-year students in touch with UW medical alumni who live in or near the cities where their residency interviews are taking place. The alumni provide students with a free place to stay for one or more nights.

Student Questionnaire Form

(Please fill in completely)

*Full Name:

*Gender:

 Male    Female

*Address:

*City:

*State:

*ZIP Code:

*Preferred Phone:

*E-mail:

*Confirm E-mail:

Travel Dates & Information

Trip 1

Dates that lodging is
needed (nights only):

Location (include nearby metropolitan areas):

Interview hospital/institution:

Residency type:

*Will your spouse/ significant
other accompany you?

Trip 2

Dates that lodging is
needed (nights only):

Location (include nearby metropolitan areas):

Interview hospital/institution:

Residency type:

*Will your spouse/ significant
other accompany you?

Trip 3

Dates that lodging is
needed (nights only):

Location (include nearby metropolitan areas):

Interview hospital/institution:

Residency type:

*Will your spouse/ significant
other accompany you?

Trip 4

Dates that lodging is
needed (nights only):

Location (include nearby metropolitan areas):

Interview hospital/institution:

Residency type:

*Will your spouse/ significant
other accompany you?

*Spouse's name:

Comments:

* indicates required field

Bookmark this page and use it for future interview trips!