MLC Volunteer Conversation Partner Sign-Up Form

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Thank you for the interest in partnering with the Michigan Language Center to practice English conversation with our students! Please fill out the form below so that we can pair you with a student. If you have questions, please email info@englishclasses.com.

More information about this program can be found here: https://www.englishclasses.com/about-us/conversation-partners/

Email *

First Name *

Last Name *

Phone Number *

Street Address: *

City, State, Zip *

Age *

Current profession or university major (if a student)

Are you a native English speaker? *

Yes

Other:

Gender

Female

Male

Other:

Clear selection

Many volunteers are familiar with - or are even fluent in - languages other than English. This knowledge can sometimes help when trying to understand English challenges an MLC student might be facing. We ask that the primary language used between partners remain English, and that knowledge of other languages be used only when necessary, and as a supplementary tool to assist with English speaking and understanding.
Please indicate any languages you are familiar with besides English (you may also want to include your level of understanding):

Examples: German (fluent); Spanish (native speaker, bilingual); Arabic (beginner level - basic vocabulary); etc.

If a student from the language background(s) you are familiar with is NOT available, are you willing to work with a student from a different language background? *

*While every attempt will be made to pair you with a student from the language background you prefer, we are not always able to do so.

Yes

Clear selection

How much time are you willing to commit to volunteering per week? *

1 hour every other week / biweekly (1 student)

30 minutes - 1 hour per week (1 student)

2 or more hours per week (1 - 2 students)

Other:

I am available until (date) *

YYYY

How did you hear about MLC? *

Please list any skills, talents, hobbies, special training or experiences including professional licenses or certification that you have relevant to this volunteer role. We will use this information to find a good match for you. *

Briefly explain why you are interested in this opportunity. *

List other organizations you've been involved with during the last 5 years:

Have you ever been convicted of, pled guilty or no contest to, placed on probation for, given community supervision for or given deferred adjudication for, any crime involving violence? *

Yes

If yes, please explain:

Do you currently have pending charges for any criminal offense involving violence? *

Yes

If yes, please explain:

Any other information you would like us to know?

The information contained in this screening form is correct to the fullest extent of my knowledge. If I have made any false statements or material misrepresentations, written or verbal, I will be disqualified from volunteering with the MLC.

Print Full Name: *

Send me a copy of my responses.

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