Programs and Workshops

Communiversity Ambassador Program - Student Application

Contact Information
Family (Last) Name
First Name
Gender Male
Female
Home Country
   
Email Address
Phone Number
Local Address
 
Field of Study
Academic Level Bachelor Master Doctorate
 
Family/Home Life
Spouse Name (if applicable)
Name/Age/Gender of each Child (if applicable)
Number/Types of Pets
Languages you and your family speak
Allergies or Dietary restrictions
 
Interests/Activities (Check all that apply)
Music
Reading
Instruments you play Piano Violin Guitar Drum
Other
Sports you watch or play
Soccer Cricket Jogging Am. Football Volleyball
Water Sports Golf Table Tennis Skiing Basketball
Swimming Basketball Tennis
Other
Outdoor Activities
Biking Boating/Canoeing Hiking
Fishing/Hunting Camping
Other
Movies Comedy Classics Adventure Romance
Sci-Fi Thriller
Other
Other Interests Singing Theatre Painting/Drawing Cooking Cards
Chess Politics
Other
Community Memeber Preferences
Gender Male Female No Preference
Marital Status Married Not Married No Preference
Children Community member has children
Community memeber does not have children

No Preference