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Conversation Partners Application


Your Birth Date





Would you prefer to be matched with someone of the same gender?

(Must be IUP e-mail address)


(If no phone, type 555-555-5555)

I am:



Student Status




Have you participated in Conversation Partners in the past?




As a member of Conversation Partners, I agree to:

  • meet with my partners at least one hour per week
  • contact the Conversation Partners coordinator if I have any concerns
  • allow photos of me to be used for promoting Conversation Partners

By checking the box below, you are agreeing to the terms listed above.



  • Office of International Education
  • Delaney Hall, Suite B25
    920 Grant Street
    Indiana, PA 15705
  • Phone: 724-357-2295
  • Fax: 724-357-2514
  • Office Hours
  • Monday through Friday
  • 8:00 a.m.–12:00 p.m.
  • 1:00 p.m.–4:30 p.m.