ࡱ> SUR` `?bjbj .F:::8rlL"62HHH#  R!T!T!T!T!T!T!$#h3&px!]z##zzx!HH!vvvzdHHR!vzR!vv6 H* Gp: f !0" ,&r&6 &6 0?rv\ mx!x!X"zzzzD 66  If you experience any problems submitting this form electronically, please print it out and either mail or fax it. Our mailing address and fax number can be found at the end of the form. Requirements Native English speaker Available 6 hours per week for the weeks indicated (two different programs) Willing to travel to a convenient meeting place for the student (they dont drive) Attend introductory meeting on Monday, June 16 (program 1) or Monday, August 4 (program 2) General Information Name:  FORMTEXT        FORMTEXT       Phone (home):  FORMTEXT       (first) (last) Address:  FORMTEXT       Phone (cell):  FORMTEXT       (street)  FORMTEXT       Email:  FORMTEXT       (city, state, zip) Gender:  FORMCHECKBOX  Male  FORMCHECKBOX  Female Adult T-shirt Size:  FORMCHECKBOX  S  FORMCHECKBOX  M  FORMCHECKBOX  L  FORMCHECKBOX  XL Major:  FORMTEXT       Smoking Status:  FORMCHECKBOX  Yes  FORMCHECKBOX  No Availability: Pleas mark one of the slots that you are willing to be a conversation partner:  FORMCHECKBOX  Program 1: June 16 July 25  FORMCHECKBOX  Program 2: August 4 August 22  FORMCHECKBOX  Available for Program 1 and Program 2 Please indicate your available time during the week. Please indicate all that apply:MTWThFSatSunAfternoons: FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Evenings: FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  Interests Please let us know a little about yourself:  FORMTEXT       Please indicate your hobbies/interests:  FORMTEXT         , ³§s[A4sh(>*CJOJQJaJ3jh@&h(>*CJOJQJUaJmHnHu.jh@&h(>*CJOJQJUaJh@&h(>*CJOJQJaJ(jh@&h(>*CJOJQJUaJh h(CJOJQJaJh(CJOJQJaJh-h(CJOJQJaJh(CJOJQJaJh h(CJaJh(CJaJh(56CJ\]aJ hoJhoJ56CJ\]aJ- j $ f h  j & F $ hh^hgd( & F 8^gd(gd($a$gd(=_?, . 0 : < > L \ ^ r t v ӹӬu]F:+hih(CJ OJQJaJ h(CJOJQJaJ-jh(>*CJOJQJUaJmHnHu.jhT1h(>*CJOJQJUaJh(>*CJOJQJaJ"jh(>*CJOJQJUaJh(CJOJQJaJh(CJOJQJaJh(>*CJOJQJaJ3jh@&h(>*CJOJQJUaJmHnHu(jh@&h(>*CJOJQJUaJ.jth@&h(>*CJOJQJUaJ     " 0 @ B V X Z ĴĂuiTD,T.jhT1h(>*CJOJQJUaJhT1h(>*CJOJQJaJ(jhT1h(>*CJOJQJUaJh(CJOJQJaJh(>*CJOJQJaJ3jh@&h(>*CJOJQJUaJmHnHu.j\h@&h(>*CJOJQJUaJh@&h(>*CJOJQJaJ(jh@&h(>*CJOJQJUaJh(CJOJQJaJhih(CJ OJQJaJ h(CJ OJQJaJ Z d f h j r wgOw5wwg3jh@&h(>*CJOJQJUaJmHnHu.jDh@&h(>*CJOJQJUaJh@&h(>*CJOJQJaJ(jh@&h(>*CJOJQJUaJh(CJ OJQJaJ hih(CJ OJQJaJ h(CJOJQJaJh(>*CJOJQJaJhT1h(>*CJOJQJaJ(jhT1h(>*CJOJQJUaJ3jhT1h(>*CJOJQJUaJmHnHu $ 4 6 R T V b d  ӹӬnXB+jhih(CJOJQJUaJ+jhT1h(CJOJQJUaJ+j,hT1h(CJOJQJUaJjh(CJOJQJUaJh(CJ OJQJaJ h(CJOJQJaJh(>*CJOJQJaJ3jh@&h(>*CJOJQJUaJmHnHu(jh@&h(>*CJOJQJUaJ.jh@&h(>*CJOJQJUaJ    0 2 4 < > Z \ ^ f h v x ͷ͒͡}mU};}3jh@&h(>*CJOJQJUaJmHnHu.jh@&h(>*CJOJQJUaJh@&h(>*CJOJQJaJ(jh@&h(>*CJOJQJUaJhih(CJ OJQJaJ +jthih(CJOJQJUaJ+jhih(CJOJQJUaJh(CJOJQJaJjh(CJOJQJUaJ+jhih(CJOJQJUaJ   jkyz{9oY+j,hmh(CJOJQJUaJ+jhmh(CJOJQJUaJ+jDhmh(CJOJQJUaJh h(CJOJQJaJ+jhih(CJOJQJUaJ+j\hih(CJOJQJUaJjh(CJOJQJUaJh(CJOJQJaJh(>*CJOJQJaJ9Y[]_bdhl $$Ifa$gd( $Ifgd(gd( 9WXYmyzٳٝهq[+j hT1h(CJOJQJUaJ+j hT1h(CJOJQJUaJ+j/ hT1h(CJOJQJUaJ+j hT1h(CJOJQJUaJ+jC hT1h(CJOJQJUaJjh(CJOJQJUaJh(CJOJQJaJh(CJOJQJaJhmh(CJOJQJaJ lmkd$$Iflִ$ \ <,"X888888 t06    44 lamy $$Ifa$gd( $Ifgd("$&(*FHJLNjlnprͷͨ͒|fP+j|hT1h(CJOJQJUaJ+jhT1h(CJOJQJUaJ+j hT1h(CJOJQJUaJ+j hT1h(CJOJQJUaJhmh(CJOJQJaJ+j hT1h(CJOJQJUaJh(CJOJQJaJjh(CJOJQJUaJ+j hT1h(CJOJQJUaJkd} $$Iflִ$ \ <,"X888888 t06    44 la(Lp $$Ifa$gd( $Ifgd(prͷ͒͡q`Hq/jh@&h(CJOJQJU^JaJ h@&h(CJOJQJ^JaJ)jh@&h(CJOJQJU^JaJh(CJOJQJaJh h(CJOJQJaJ+jhT1h(CJOJQJUaJ+jhhT1h(CJOJQJUaJh(CJOJQJaJjh(CJOJQJUaJ+jhT1h(CJOJQJUaJkdT$$Iflִ$ \ <,"X888888 t06    44 lap<<<==xca & F 8^`gd(3*#&#$$d%d&d'd+D݅/NOPQgd(3#&#$$d%d&d'd+DɅ/NOPQgd(^gd( & F 8^gd(gd( <<<<<<<,=.=lUI6%jhT1h(CJOJQJUaJh(CJOJQJaJ,jh@&h(CJOJUaJmHnHu+jgh@&h(CJOJQJUaJUh@&h(CJOJQJaJ%jh@&h(CJOJQJUaJh(CJOJQJaJh h(CJOJQJaJ h@&h(CJOJQJ^JaJ)jh@&h(CJOJQJU^JaJ0jh@&h(CJOJU^JaJmHnHu      I understand using Japanese language during conversation hours is not allowed and that I qualify for all of the requirements in section I.  FORMCHECKBOX  Yes  FORMCHECKBOX  No     University of Shizuoka Summer English Programs (SHEP and SSEP) English Conversation Partner Application 2008 Please return this form to The Institute for Japanese Studies 306 Oxley Hall, 1712 Neil Avenue, Columbus, OH 43210 Email:  HYPERLINK "mailto:stucky.7@osu.edu" stucky.7@osu.edu Tel: 614-292-3345 Fax: 614-292-7589 Thank you for participating in the English Conversation Partner Program .=J=L=N=X=Z=\=x=z=|=========== > >:>;><>񼬼{{{{qm^Im)h-h(B*CJ OJQJ^JaJ phh-h(CJ OJQJaJ h(h(56\]hjhUh(h+CJOJQJaJ+jShT1h(CJOJQJUaJjh(CJOJQJUaJh(CJOJQJaJ%jhT1h(CJOJQJUaJ+jhT1h(CJOJQJUaJhT1h(CJOJQJaJ======== >;><>z>>??]?^?_?`?^gd($a$gd( $7$8$H$a$gd($a$gd(<>>>>>>>>??]?^?_?`?øôh(h+CJOJQJaJhhT1h(CJaJh(h?h(0JCJaJ#jh?h(CJUaJjh?h(CJUaJh?h(CJaJ ,1h/ =!"#$% tDText1tDText2tDText3tDText5tDText4tDText6tDText7vDeCheck10vDeCheck11tDeCheck3tDeCheck4tDeCheck5tDeCheck6tDText8tDeCheck7tDeCheck8tDeCheck9tDeCheck9tDeCheck9$$If!vh5X5858585858585#vX#v8#v:Vl t6,5X585vDeCheck12vDeCheck13vDeCheck14vDeCheck15vDeCheck16vDeCheck17vDeCheck18$$If!vh5X5858585858585#vX#v8#v:Vl t65X585vDeCheck25vDeCheck24vDeCheck23vDeCheck22vDeCheck21vDeCheck20vDeCheck19$$If!vh5X5858585858585#vX#v8#v:Vl t65X585vDText22vDText22vDeCheck26vDeCheck27DyK stucky.7@osu.eduyK Hmailto:stucky.7@osu.eduyX;H,]ą'cD@D NormalCJ_HaJmH nHsH tHDA@D Default Paragraph FontRi@R  Table Normal4 l4a (k(No List4 @4 (Footer  !ZOZ (Default 7$8$H$%B*CJ_HaJmH nHphsH tHj@j ( Table Grid7:V06U@!6 ( Hyperlink >*B*ph` F-Cr  j9Y[]_bdhlmy&8J\n  b ;<z  ] ^ a 000 0 0 0 0 00 0000000000000000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000000 0 0y00 y00y00 Ly00y00 y00y00 $y00@0@0@0@0@0@0@0@0y00y00  a @00000{00{00 00 @0 0L zz, Z  9.=<>`?  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