Volunteer International Program Application

Program Application

Please read carefully and complete the following form to become a Volunteer International Peer

Basic Information

First name:

Last name:

CWID:

Country of birth:

Gender: MaleFemale

Degree level UndergraduateGraduate

Academic major: e.g. Anthropology

Contact Information

Please enter your current U.S. Address:

Line 1

Line 2 (Optional)

City

Zip Code

Phone:

Additional Information

Please enter the following information only if applicable. If not, please skip this section.

What language(s) other than English do you speak? If more than one, please separate by comma.
(Optional)

List any student club(s) organization(s) you are currently affiliated with. If more than one, please separate by comma.
(Optional)

VIP Information

I am interested in serving as a VIP in one or more of the following programs:

Orientation Leader Program (Learn more)
Cross-Cultural Contact Program. Please complete the supplemental section (Learn more)
Intercultural Internship Program (Learn more)

Why are you interested in becoming a Volunteer International Peer?

(maximum 150 characters)

How will your VIP experience help you achieve your personal and professional goals?
(maximum 150 characters)

Supplemental Section: For Cross-Cultural Contact Only

Please complete this section only if you would like to participate in the Cross-Cultural Contacts Program.

I prefer my Contact to be: MaleFemaleNo Preference

I prefer my Contact to be: UndergraduateGraduateNo Preference

I prefer someone from a specific country
If you checked the box above, please specify a country:

I prefer someone with my same major or degree program

I would still like to be matched even if my Cross-Cultural Contact does not meet the criteria I have selected above

I am willing to be a contact for more than one new student.
Number of Contacts requested: (Maximum of 2)

By selecting to participate in the Cross-Cultural Contacts Program, you are allowing the Office of International Programs to give your contact information to the newly admitted international students and/or CSUF student interested in studying abroad. Your contact information will be used only for the purpose of their program. For more information, please call 657-278-2787 or send an email to Jean Hotta at jhotta@fullerton.edu.

Revised — April 2013