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English-In-Action (EIA) Partner Signup Form
Thank you for your interest in our program! We are a volunteer effort sponsored by YWCA Berkeley/Oakland. We pair English speakers with with UC Berkeley students, visiting scholars and their partners, students from adult school and local community colleges, as well as community members, who seek to improve competency in the English language. There is no formal English instruction--just casual conversation.

The commitment is one hour per week, meeting with your partner at a mutually convenient time and place, usually around campus.* The program is free to all international visitors with a one-year membership in the YWCA (of $20). 

PLEASE FILL OUT THE FORM AND WE WILL REACH OUT TO YOU TO LET YOU KNOW IF YOU'RE ELIGIBLE.

*Due to COVID-19 Shelter-In-Place order, all of our meetings are to be held virtually.

Thank you,
Karen Lei
YWCA Berkeley/Oakland EIA coordinator

EIA Office Hours: Tuesdays and Wednesdays 9am-2pm. We have limited office hours and will communicate and coordinate with you during this time. Thank you for your patience.
Title *
Family/Last Name *
First Name *
Email Address *
Phone Number *
Mailing Address *
Status *
If you answered "Other" above, please indicate your status. If you answered "Student from other college/university, please indicate which one. (please put N/A if it's not applicable) *
UC Department/Major and Level (ie. Economics major, Freshman) *
Home Country *
Date Arrived in USA *
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Approximate Departure Date from USA *
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Previous College Education/Degree *
Hobbies, interests *
Preferred meeting format (Online is recommended only for partners who due to COVID are not in the country) *
Available times to meet with your volunteer: *
Any questions?
How did you hear about EIA?
YWCA Statistics #1: Ethnicity *
YWCA Statistics #2: Age *
YWCA Statistics #3: Gender *
YWCA Statistics #4: Do you identify yourself as part of the LGBTQ+ community? *
YWCA Statistics #5: Household Income (annual) *
YWCA Statistics #6: Which community do you live in? *
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