As a grantee, you will receive a questionnaire in the mail to be filled out and sent back to the Walker Institute. If you have lost or did not receive this questionnaire please send an email to maria@sc.edu with the following information:

Name:
Country:
Citizenship:
Passport Number:
Passport Expiration Date:
Name to be called:

Person to contact in case of an emergency?
•Name:
•Complete Address:
•Phone Number (day):
•Phone Number (night):

Personal Habits (in order to help choose roommates and serve your personal needs)
•Smoker? Non-Smoker?
•Special Medical Conditions?
•Dietary Restrictions?
•Prefer to cook or eat out?
•Prefer to stay up late?
•Early morning riser?
•Study time preference?
•Other?

Other Restrictions
•Travel Restrictions?
•Special Religious/Cultural Needs?

Please indicate how you can be contacted by FAX or Internet (if available):
•FAX number:
•Email/Internet Address:

MAC address (If you are bringing a laptop computer with you):
[To find the MAC address: 1) Go to C prompt. 2) Type: IP configuration (leave space)/all
You should get a 12 digit # that includes letters-this is your MAC address]

Please return this questionnaire via email to one of the contacts or mail to:
Maria Anastasiou
Walker Institute of International and Area Studies
Gambrell Hall Room 440
University of South Carolina
Columbia, SC 29208
FAX: 803-777-9308