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Conversation Partners Application


 

     
Your Birth Date

 

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Gender
      

   

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

(Must be IUP e-mail address)
 


 


                                             


@  


@  

I am:
         

   


 

Student Status
         


 


 


 

Have you participated in Conversation Partners in the past?
  

(Optional)
 

(Optional)
 

Agreement

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 Hours
  • Monday through Friday
  • 8:00 a.m.–12:00 p.m.
  • 1:00 p.m.–4:30 p.m.