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Conversation Partners Program (American Student Application)
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* Indicates required question
Given Name (please use English letters)
*
Your answer
Family Name (please use English letters)
*
Your answer
Preferred Name (If you do not have a nickname, please re-write your Given name here.)
Your answer
Email Address
*
Your answer
Age
*
Your answer
I identify my gender as...
*
Man
Woman
Other
Phone
*
Your answer
How did you hear about the Conversation Partners Program? Please select the options that most made you want to apply:
*
Flyer/Bulletin on Campus
American friends
ESL/International friends
Class visit from ESL staff
Past Experience/Returning
On campus event
Service Hours for Class/Organization
Other
Required
If you are in Conversation Partners for service hours for a class or organization, please list it here:
Your answer
Where do you live?
Choose
White
Regents
Elizabeth
Hester
Lee Clark
Richmond
Franklin
Hart
Springer
College Courts
Off-Campus
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