Office for International Students and Scholars

Community
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	Volunteer Profile Update Form
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SPEAK ENGLISH WITH US

New Volunteer Information Sheet

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

First and Last Name:

Address:

City:

Zip Code:

E-Mail Address:

Phone Number:

Do you have any pets?

If so, what and how many?

Do you smoke?

Does smoking by others bother you?

What is your religion? (Optional)

Degree Level Preference:

Would your student need to have his/her own transportation?

Are you willing to have a student from any country?

If not, which country/language would you prefer?

Would you be willing to work with more than one student?

Would you be willing to work with a student that has a family?

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

Do you have any additional comments, special interests, etc?

How did you hear about this program?

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