Conversation Partner Request Form for Students


Name _____________________________________________ 

Social Security Number _________-______-__________

E-mail ___________________________________________ 

Phone Number(if available) (______)-______-_______

Major ____________________________

Year  Freshman     Sophomore     Junior     Senior

My first language is ___________________ 


I am available to meet with my conversation partner at:
[Note: to avoid scheduling problems, please specifying multiple times when you are available.]


Monday                    Thursday
9:00  to 10:00            9:00  to 10:00
10:00 to 11:00            10:00 to 11:00
11:00 to 12:00            11:00 to 12:00
1:00  to 2:00             1:00  to 2:00
3:00  to 4:00             3:00  to 4:00
4:00  to 5:00             4:00  to 5:00
5:00  to 6:00             5:00  to 6:00

Tuesday                    Friday
9:00 to 10:00              9:00  to 10:00
10:00 to 11:00             10:00 to 11:00
11:00 to 12:00             11:00 to 12:00
1:00 to 2:00               1:00  to 2:00
3:00 to 4:00               3:00  to 4:00
4:00 to 5:00               4:00  to 5:00
5:00 to 6:00               5:00  to 6:00

Wednesday
9:00 to 10:00
10:00 to 11:00
11:00 to 12:00
1:00 to 2:00
3:00 to 4:00
4:00 to 5:00
5:00 to 6:00