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International Exchange Partner Request - Fall 2022
FOR INCOMING INTERNATIONAL/EXCHANGE STUDENTS ONLY (UCEAP RECIPROCITY STUDENTS)
This program aims to pair you with a UCI student to help you transition to life as a UCI student and introduce you to American culture. Participation is voluntary, and you can determine how much you would like to connect with your partner once you are paired up.
Please complete the form and submit by August 31st.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
UCI Student ID#
*
Your answer
UCI Email Address
*
Your answer
Age
*
Your answer
Gender Identity
*
Choose
Male
Female
Other
Do you prefer a partner who has the same gender identity?
*
Choose
Yes
No
Does not matter
Home Country
*
Your answer
Home University
*
Your answer
UCI Major
*
Your answer
Do you prefer a partner with a similar major?
*
Choose
Yes
No
Does Not Matter
First language
*
Your answer
Other languages you speak or are studying
Your answer
Would you like to be paired with a student who can speak your first language (if other than English)?
*
Choose
Yes
No
Does Not Matter
Someone who speaks my other languages (if other than English)
I am a native English speaker
Would you be interested in being assigned more than one partner?
Choose
Yes
No
Maybe
What three adjectives best describe you?
*
For example: shy, outgoing, active/athletic, introverted, extroverted, studious, friendly, talkative, etc.
Your answer
What are a few things you would like to do with your partner?
*
For example: study, go out to eat, grab coffee, join a club, go to the movies, go shopping, go hiking, play sports, etc.
Your answer
What are some of your hobbies?
*
For example: go to the gym/work out, travel, read, do a puzzle, watch tv or movies, etc.
Your answer
How often would you like to connect with your partner?
*
1-2 times per week
Once every 2 weeks
1-2 times a month
Other:
What do you hope to gain from this program?
For example: study partner, english exchange, friend, social opportunities, cultural insights, etc
Your answer
Is there anything else that would be helpful for us to know in matching you with a UCI student?
Your answer
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