DATE: ______________________ QUARTER: ________________________

CONVERSATION PARTNER PROGRAMInternationalStudent Services

First Name: __________________ Last Name: _________________ Gender: M F (Print Clearly)

Phone number: __________________________________ SID: _______________________

Email Address: ______________________________________________________________(Print Clearly)

Home Address: ______________________________________________________________

City: ______________________________________ State: _____________ Zip: __________

Please fill out this section if participating for class credit

Instructor: _____________________ Class: ________________________

AVAILABILITY Monday Tuesday Wednesday Thursday Friday

Why are you interested in working with a conversation partner? _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Comment: _____________________________________________________________________________________________________________________________________________

How did you hear about the program? _____________________________________________________________________________________________________________________

Office use onlyPartner’s name: __________________________________ Day: _______ Time: _______Date assigned: __________________________________

Partner’s name: __________________________________ Day: _______ Time: _______Date assigned: __________________________________

Comment: _________________________________________________________________Total Participation Hours: ________ Instructor Informed by: _____________ Date: _______

Please see other side

International Student ServicesConversation Partner Program

Volunteers Application

By signing this form, I agree to the following terms:

Description: This is a volunteer position for individuals interested in helping students whose native language is not English, to improve their English language ability.

Requirements: Volunteers must be open-minded towards different cultures, flexible with time, friendly and respectful. Volunteers must speak English well and clearly enough to be understood.

Duties: Meet with conversation partner for no less than one hour per

week, you may meet more than once a week. Develop weekly topics and/or follow suggestions in the

program guide Be dependable Maintain monthly contact with coordinating staff Commit to working with students through at least one quarter

Note: I recognize that this program is not to be used as a dating service. Any indication that I am attempting to use the program to make dates will result immediate termination from the program

Name (print clearly):

Signature:

Date: