Culture and Language Exchange Program - Native English Speakers

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Please fill out the information form below.

Once you have been matched with a partner, you will receive an email with your partner's contact information. After you receive this email, it is then up to you and your partner to contact one another and arrange a day and time to meet.

If you have any questions, please email Brianne at elicomm@pitt.edu.

Thank you for volunteering your time!

First Name: *

Last Name: *

Preferred Email Address: *

Native Language: *

Gender: *

male

female

University Affiliation: *

undergraduate student at the University of Pittsburgh

graduate student at the University of Pittsburgh

faculty member at the University of Pittsburgh

staff member at the University of Pittsburgh

student at another university

Other:

Are you interested in receiving OCC credit for volunteering? *

(For Pitt students only)

yes

n/a

If you prefer a partner who speaks a particular language, please indicate that language below:

Do you still wish to have a partner if your language request (above) cannot be met? *

yes

maybe (The ELI will contact you before proceeding.)

I have no language preference.

Are you willing to meet with two different partners (at different times) if the need arises? *

yes

maybe (The ELI will contact you before proceeding.)

Do you have any special considerations?

How did you hear about this program?

Please be specific. (If you saw a flyer, please mention where you saw it. If you received an email, please mention who it was from.)

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