Family Name:
Given Name:
Gender : Male Female
Age: Date of Birth
Home Country
City or Province:

Note: If you do not yet know your Chapel Hill address and/or telephone number of if your Chapel Hill address or telephone number changes, be sure to notify us as soon as possible so that your international friend or conversation partner can contact you.

Chapel Hill Address (Present):

Phone (Present):

Lab or Office Phone:
Email: Fax #:

Classification:
Undergraduate Exchange Graduate
Visiting scholar Spouse

Major/Field of research:
Degree Sought:
How long do you expect to be at UNC?

Occupation in Home Country:

Besides English, list languages you speak:
Languages you read and write:

Have you visited the U.S. previously? Yes No             
If yes, how long and in what capacity?

Married? Yes No  
Spouse coming? Yes No
Date spouse coming (approximate):
Spouse's Name:
Children coming? Yes No
Names and ages of children, if they are coming.

Religion (optional)
Dietary Restrictions

Special Interests
Below, please check the areas that are of most interest to you. Give us as much information and as clear a picture of yourself as you can.

Art Film Dance Music Literature Travel Sports Theatre
Government & Politics Business & Industry Education & Schools

ISSS Programs in which you are interested in participating
Indicate your interest by checking the box next to the name of the programs in which you are interested in participating.

International Friendship Program
You will be matched with a local family or individual who is interested in becoming better acquainted with people from other countries and cultures and has volunteered to be your friend during your stay at the University. You would not be living with your international friends, but would get to know them by visiting their home occasionally and participating in some of their activities.

Conversation Partners Program
A conversation Partner is a student or community volunteer who wants to help you practice your English, give you an opportunity to improve your English and help you feel more at home here in Chapel Hill. You can be matched with a partner who will meet with you once a week for an hour at a mutually convenient time and place.

Are you flexible about times when you can meet with your partner?
Yes No

If you do not yet know about your schedule, leave the following section blank for now.

I can:
Drive my car to meet my partner
Bicycle
Take the bus
My partner must come to me


When are you free to meet with a partner:

Mornings:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Afternoons:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Evenings:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday


Carolina Navigators
Carolina Navigators is a speakers bureau program which is part of the UNC Center for Global Initiatives. This program enriches the education of both UNC and K-12 students through engaged international learning. The program provides cultural resources and interactive classroom presentations by Carolina international students and by U.S. students who have international experience and expertise.

You may be invited to speak about your home country and culture, show slides, or demonstrate native dress, music, foods, and/or crafts. Carolina students benefit from the program by having the opportunity to share their experiences while practicing public speaking and teaching skills. They may also enroll in an academic service-learning class, INTS 290, and participate in a training session.

If you are interested in the program please check this box authorizing us to give your contact information to the Carolina Navigators Program Coordinator OR you can leave the box unchecked and directly contact Carolina Navigators: Tara Muller, Carolina Navigators Program Coordinator, Center for Global Initiatives, 843-6860, navigators@unc.edu


Would you be interested in giving talks about your country to schools and other organizations in the community?
Yes No
Would your spouse be interested?
Yes No

Do you have a special talent (such as playing a musical instrument or performing national dance, singing, crafts demonstrations) which you would be willing to share with school, civic or university groups?



International Women's English Conversation Group
This program provides the spouses of international students and scholars the opportunity to meet other women from around the world as well as American members of the Chapel Hill community. They learn about local activities for internationals and their children, and have English conversation lessons in a relaxed atmosphere. Babysitting is provided. This group meets on Thursdays from 10:00 a.m. to 12:00 p.m. at a private home. If you check this box, we will send you more detailed information when you arrive.


Tell us something about yourself
If you want to be matched with an international friend through the International Friendship Program or a Conversation Partner, or are willing to participate in the Speakers' Bureau, it would be helpful to us if you could tell us something about yourself. We would like to share this information with your international friend or conversation partner.