Last name:
First name:
Email:
Gender : Male Female


Chapel Hill Address (Present):

Phone (Present):


Fall Address:

Fall Phone:


Summer Address :

Summer Phone:

Undergraduate:    Graduate:
If Undergraduate, Year in School: Not Applicable Freshman Sophomore Junior Senior      

Major/Department/Field of Study:

Foreign Languages:

Travel Abroad/Special Interests:


Have you had any prior experience as an Orientation Counselor?


Have you had any previous experience working with internationals?


Briefly list your participation in Campus Activities at UNC:


Date returning to UNC (if known):
If you are going to attend Summer School, which Session(s)?
1st 2nd

If you plan to be here over the summer, can we contact you to help out with students who arrive early?
Yes No