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Conversation Partner Program
Student Application Form
Select a session:
Fall 2010
Spring 2011
Summer 2011
First Name
Last Name
Middle Name
Nationality
Gender
Male
Female
E-mail Address
Phone number
When do you want to meet with your Conversation Partner?
DAY TIME
Monday
No
Yes
From
12 AM
01 AM
02 AM
03 AM
04 AM
05 AM
06 AM
07 AM
08 AM
09 AM
10 AM
11 AM
12 PM
01 PM
02 PM
03 PM
04 PM
05 PM
06 PM
07 PM
08 PM
09 PM
10 PM
11 PM
To
12 AM
01 AM
02 AM
03 AM
04 AM
05 AM
06 AM
07 AM
08 AM
09 AM
10 AM
11 AM
12 PM
01 PM
02 PM
03 PM
04 PM
05 PM
06 PM
07 PM
08 PM
09 PM
10 PM
11 PM
Tuesday
No
Yes
From
12 AM
01 AM
02 AM
03 AM
04 AM
05 AM
06 AM
07 AM
08 AM
09 AM
10 AM
11 AM
12 PM
01 PM
02 PM
03 PM
04 PM
05 PM
06 PM
07 PM
08 PM
09 PM
10 PM
11 PM
To
12 AM
01 AM
02 AM
03 AM
04 AM
05 AM
06 AM
07 AM
08 AM
09 AM
10 AM
11 AM
12 PM
01 PM
02 PM
03 PM
04 PM
05 PM
06 PM
07 PM
08 PM
09 PM
10 PM
11 PM
Wednesday
No
Yes
From
12 AM
01 AM
02 AM
03 AM
04 AM
05 AM
06 AM
07 AM
08 AM
09 AM
10 AM
11 AM
12 PM
01 PM
02 PM
03 PM
04 PM
05 PM
06 PM
07 PM
08 PM
09 PM
10 PM
11 PM
To
12 AM
01 AM
02 AM
03 AM
04 AM
05 AM
06 AM
07 AM
08 AM
09 AM
10 AM
11 AM
12 PM
01 PM
02 PM
03 PM
04 PM
05 PM
06 PM
07 PM
08 PM
09 PM
10 PM
11 PM
Thursday
No
Yes
From
12 AM
01 AM
02 AM
03 AM
04 AM
05 AM
06 AM
07 AM
08 AM
09 AM
10 AM
11 AM
12 PM
01 PM
02 PM
03 PM
04 PM
05 PM
06 PM
07 PM
08 PM
09 PM
10 PM
11 PM
To
12 AM
01 AM
02 AM
03 AM
04 AM
05 AM
06 AM
07 AM
08 AM
09 AM
10 AM
11 AM
12 PM
01 PM
02 PM
03 PM
04 PM
05 PM
06 PM
07 PM
08 PM
09 PM
10 PM
11 PM
Friday
No
Yes
From
12 AM
01 AM
02 AM
03 AM
04 AM
05 AM
06 AM
07 AM
08 AM
09 AM
10 AM
11 AM
12 PM
01 PM
02 PM
03 PM
04 PM
05 PM
06 PM
07 PM
08 PM
09 PM
10 PM
11 PM
To
12 AM
01 AM
02 AM
03 AM
04 AM
05 AM
06 AM
07 AM
08 AM
09 AM
10 AM
11 AM
12 PM
01 PM
02 PM
03 PM
04 PM
05 PM
06 PM
07 PM
08 PM
09 PM
10 PM
11 PM
Saturday
No
Yes
From
12 AM
01 AM
02 AM
03 AM
04 AM
05 AM
06 AM
07 AM
08 AM
09 AM
10 AM
11 AM
12 PM
01 PM
02 PM
03 PM
04 PM
05 PM
06 PM
07 PM
08 PM
09 PM
10 PM
11 PM
To
12 AM
01 AM
02 AM
03 AM
04 AM
05 AM
06 AM
07 AM
08 AM
09 AM
10 AM
11 AM
12 PM
01 PM
02 PM
03 PM
04 PM
05 PM
06 PM
07 PM
08 PM
09 PM
10 PM
11 PM
Sunday
No
Yes
From
12 AM
01 AM
02 AM
03 AM
04 AM
05 AM
06 AM
07 AM
08 AM
09 AM
10 AM
11 AM
12 PM
01 PM
02 PM
03 PM
04 PM
05 PM
06 PM
07 PM
08 PM
09 PM
10 PM
11 PM
To
12 AM
01 AM
02 AM
03 AM
04 AM
05 AM
06 AM
07 AM
08 AM
09 AM
10 AM
11 AM
12 PM
01 PM
02 PM
03 PM
04 PM
05 PM
06 PM
07 PM
08 PM
09 PM
10 PM
11 PM
How many conversation
partners do you want?
1
2
3
What ELC Classes
are you taking now?
Other Comments
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