Published on Brock University (http://www.brocku.ca)

Language Interchange Program (LIP) Application

*Please note that not every applicant is guaranteed a partner. The number of pairings will depend on the number of students that sign up.

First Name: *

Last Name: *

Gender: *

Male

Female

Student Number: *

Home country: *

Email Address: *

Program Attending at Brock: *

Year of Study: *

Other:

language(s) you can provide: *

language(s) you want to improve: *

Hobbies/Interests/ Special Requests:

Source URL: http://www.brocku.ca/international-services/language-interchange-program