Cultural and Language Exchange Program Application

Directions: Thank you for your interest in this Cultural and Language Exchange Program! This program is a service provided to you by the Winona State University International Services and Cultural Outreach Office (open Monday-Friday 8am-4:30pm). This program involves two types of exchanges that can occur: a cultural exchange and a language exchange. Both programs will provide an opportunity for domestic students and international students to share their culture and language while getting to know one another. Please fill out this application and hand it into the International Services and Cultural Outreach Office (open Monday-Friday 8am-4:30pm) so we can most effectively pair you up. Before handing your sign in sheet in, please read the rules and regulations and sign your name at the bottom of either page 3 or 4. The first page of this application needs to be completed by all participants. After this, fill out the next questions based on whether you would like to be a part of the language exchange or cultural exchange. Note that all the information that has been starred will be shared with your culture or language exchange partner. This will be done so you will be able to get in contact with one another and know basic information about one another. Lastly, when a culture or language exchange partner has been found for you, you will be notified through email by the WSU International Services and Cultural Outreach Office.

Application:

1. Name (First, Last)*

2. Gender (Female/Male/Rather Not

Say)*

a. Female b. Male c. Rather Not Say

3. Age *

4. Student ID Number

5. Student/Faculty E-mail * (WSU E-

mail)

6. Student/Faculty Phone #*:

7. Undergraduate or graduate student

or Professor?*

a. Graduate b. Undergraduate c. Professor

8. Year in School*:

a. Freshman b. Sophomore c. Junior d. Senior e. Super Senior

9. What are your majors and

minors?*:

a. Major: b. Minor:

10. Favorite Two Hobbies*

1. 2.

11. Date available to start meeting:*

Language Exchange: International students will converse with domestic students who are interested in improving their language skills in Chinese, Japanese, German, French, and Spanish. This will not serve as a tutoring service, but a conversation-based manner in which students can improve their language skills and maybe even make a new friend in the process. The following questions should only be answered if you plan to be a part of the language exchange: 1. What is your native language?*

2. What language (s) are you learning? Which language do you

want to improve?*

1. 2.

3. How many years of this language

have you taken in high school?*

a. 1 year b. 2 years c. 3 years d. 4 years e. 5 years or more

4. How many years of this language

have you taken in college?*

a. 1 year b. 2 years c. 3 years d. 4 years e. 5 years or more

5. If we cannot find someone that speaks the language you have

requested, would you still want to be a part of the cultural exchange

conversation partner program?

a. Yes b. No

6. What would you like to get out of this program? Circle all that apply.*

1. Improve your language skill 2. Make a new friend from a different country 3. Help someone with their language skill 4. Share your culture with another person 5. Other____________________________

I have read the rules and regulations and I agree to abide by these guidelines. Signature_____________________________________________________________Date:______________________ Printed Name________________________________________________________Date:______________________

Cultural Exchange Partners: International students will talk with domestic students who are interested in learning about a certain region/country. In turn, the international students will learn about the American culture in an informal environment. This is not a tutoring service, but an opportunity for an exchange of cultures while at the same time international students’ language ability will most likely increase. The following questions should only be answered if you plan to be a part of the cultural exchange:

1. Which country are you from?*

2. What country/region would you

like to learn more about?*

3. In the future, what country or

region are you thinking about studying, living, or working in?*

4. If we are not able to find a person from the country/region you have

requested, would you still want to be a part of this program?

a. Yes b. No

6. What would you like to get out of this program? Circle all that apply.*

1. Improve your language skill 2. Make a new friend from a different country 3. Help someone with their language skill 4. Share your culture with another person 5. Other____________________________

I have read the rules and regulations and I agree to abide by these guidelines. Signature_____________________________________________________________Date:______________________ Printed Name________________________________________________________Date:______________________