Office for International Students and Scholars

Community
	Host Family
		Student Application
		Family Application
		Information Letter
	Speak English With Us
		Student Application
		Volunteer Application
	Be Our Guest Program
		Student Application
	Volunteer Profile Update Form
	St. Louis
		St. Louis Fun Spots
		St. Louis Events

SPEAK ENGLIGH WITH US

Student Application

I authorize the Community Connections Program to use the information below to match me with an appropriate volunteer or family.
The OISS will never share or sell your information with any third-party entities.

Name:

Student ID #:

Age:

Gender:

Nationality:

Local Address:

E-Mail Address:

Phone Number:

Field Of Study:

Degree Objective:

Degree Level:

Marital Status:

Is your spouse here with you?

What is your spouse's name?

Do you have children?

Are they here with you?

What are their names and ages?

Do you have your own automobile?

Would you be willing to drive to your volunteer's house?

Have you lived in the U.S. previously?

What is your religion? (Optional)

Do you smoke?

Does smoking by others bother you?

Do you have any friends/relatives in the St. Louis area?

Do you object to pets?

Based on your current schedule for the semester, what days and/or times could you meet with a volunteer? (example: Wednesday mornings/evenings, weekends)

Please indicate some of your interests. We will use this information to try and match you with a volunteer with similar interests.

Arts and Crafts	Automobiles/Cars
Biking	Board Games
Computers/Electronics	Concerts
Cooking	Dance/Theatre
Hiking or Camping	Ice Skating
Photography	Picnics
Sightseeing	Skiing
Sports	Swimming/Boating
Other (Specify)

By submitting this application, I hereby grant permission to the OISS to print and reproduce photos taken at Community Connections events for promotional purposes.

Office for International Students and Scholars
Attn: Cindy Minor
Campus Box 1083
One Brookings Drive
St. Louis, MO 63130
oiss@wustl.edu
FAX: 314-935-4075