I want to sign-up!
I am an International student wanting a partner

 I am an American student wanting a partner

I would prefer a :
Male Partner  Female Partner  No Preference

First Name:

Last Name: 

Preferred English Name:

Gender:
Male  Female

Major:

E-mail Address:

Phone Number:

Academic Classification:
Freshman  Sophomore  Junior  Senior  Graduate  Faculty

Country of Citizenship:

Are you in the ELI (English Language Institute)?  Yes  No
If yes, what is your level:  (Example: Level 1)

Basic Expectations

• Make personal contact either via telephone or email each week during the semester
• Meet with your conversation partner for one hour each week to practice English speaking and listening skills
• Have fun and learn about other cultures?

I affirm that I would like to sign-up for a Global Connect partner and that I will devote at least one hour per week during the Spring 2013 semester to fulfill the expectations of the Global Connect program.