Conversation Partner Questionnaire for American Volunteers

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Thank you for your interest in the English Conversation Partner Program. Our prayer is that this will be an enriching experience for you, as well as being very helpful to the international person who seeks friendship and a native English speaker with whom to practice their English. We ask you to commit to meet a student for one hour per week, for one semester (minimum) at a mutually acceptable public place and time. For questions, please contact Marcia Mittwede, International Student Ministry Director, Marcia@ulcaustin.com Cell Phone: 512-660-8440

Please tell us about yourself:

First & Last Name *

Address *

City/Zip *

Phone *

Please list the best phone number to reach you.

Age *

18-25

26-35

36-50

50+

Can you be contacted by Text Message? *

Yes

Number for Texting

E-mail *

Of which church or campus ministry are you associated? *

Best way to reach you: *

Phone

Text message

Any of the above

Required

Please briefly summarize your education, work experience, hobbies, interests *

If you have traveled outside the U.S., please indicate that below.

Asia

Africa

Europe

South America

Australia

Middle East

Other:

If desired, please give further info to help us match you with an international student/spouse/community person:

Please indicate your preference *

I am willing to walk/bus/drive to a place close to the UT campus to meet a student.

I am unable to walk/bus/drive to UT and need the student to come to a location outside Austin.

Other:

Please list 2 or 3 days/times you are available to meet with an international student. *

Commitment is to meet with a student one hour per week for the semester at a mutually convenient public location.

Please tell us who referred you to our program *

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