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PICL Peers Information Form

Based on your responses, the Program Facilitator will create pairings to the best of their ability.

Participants will learn who they are paired with either via email or at the first PICL Peers kick-off event.

Deadline: Submit a form by Friday, Sept. 21 at 12:00pm (Noon) to participate in the Fall 2018 semester.

Tell Us Who You Are*
Personal Information
Fluency In English
Is This Your First Time Living In the U.S.?
Does Your Living Space Have Pets?*
Do You Smoke?*

Professional and Recreational Information

Partnership Requests (Ideal Characteristics for Your PICL Peer)

Smoking Preference*
Religion, gender, smoking, pets, etc.
If We Cannot Meet All of Your Preferences, Will You Accept Being Paired With Another PICL Peer?*
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