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Conversation Partners Application - Americans
Full Name
*
First Name
Last Name
Gender
*
Male
Female
Marital Status
*
Please Select
Single
Married
Divorced
Widowed
Age
*
Please Select
18-25
26-35
36-45
46-55
56-65
66+
E-mail
*
Confirmation Email
Cell Phone
*
Home Phone
Address
*
Street Address
Street Address Line 2
City
State
Postal / Zip Code
What is your primary form of transportation?
*
Ex. Car, bike, rely on rides, etc.
How did you hear about Conversation Partners?
*
Website
Facebook
Place of Worship
Speaker at event/organization
Other
If you attend a place of worship, where do you attend?
*
The event/organization that you heard about CP:
What is your reason for applying?
*
Have you ever participated in Conversation Partners with us in the past?
*
Yes
No
Please provide the name of a reference
*
Reference's phone number
*
Reference's relationship to you
*
Please Select
Spiritual leader
Friend
Boss
Co-worker
The following section is to help us match you with the right Conversation Partner:
Are you currently a student?
*
Yes
No
Have you attended a college or university in the past?
*
Yes
No
What year in college?
*
Please Select
Freshman
Sophomore
Junior
Senior
Graduate Student
PHD
Major or area of study
*
What is your preference for your Conversation Partner?
*
Student from ALI
Student from The American Schools
No preference
Place of employment
*
Work Experience (brief)
*
If traveled/lived abroad, where?
Studied another language?
*
Yes
No
What language?
*
What hobbies/ activities are you particularly interested in?
*
Describe your personality
*
Please Select
Outgoing
Shy
Depends on the day
Do you have children? If so, please include how many and ages. Some of our students have children so this can be a good conversation piece if they are matched with a volunteer with children.
*
By checking the box below‚ I am willing to meet weekly for one hour for one semester with my international student partner.
*
I agree
Submit
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