EAP EXCHANGE PARTNERS MENTEE APPLICATION for WINTER 2020

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For EAP RECIPROCITY STUDENTS ONLY

First Name *

Last Name *

UCI Student ID# *

UCI Email Address *

Age *

Gender *

Do you prefer to be paired with someone of the same gender? *

Home Country *

Home University *

UCI Major *

Do you prefer a partner with a similar major? *

First language *

Other languages you speak or are studying

Would you like to be assigned a mentor who can speak your first language (if other than English)? *

What is an adjective that best describes you? *

What is another adjective that best describes you? *

What is another adjective that best describes you?

What is something you would would like to do with your mentor?

What is another thing you would would like to do with your mentor? *

What is another thing you would would like to do with your mentor?

What is one of your hobbies? *

What is another hobby? *

What is another hobby?

How often would you like to meet with your mentor? *

What do you hope to gain from this program?

ex: study partner, english exchange, friend, social opportunities, someone to drive you around, etc

Is there anything else that you think would be helpful for us to know in matching you with a UCI student?

Would you be interested in more than one mentor?

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