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PICL Peers Information Form


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

Deadline: Submit a form by Friday, February 15 at 12:00 p.m. (noon) to participate in the Spring 2019 semester!

Participants will learn whom they are paired with at the mandatory PICL Peers Kick-off event on February 28.

Tell Us Who You Are*
Personal Information
Fluency In English
Gender*
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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