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 Thursday, Sept.12 at 12 p.m. (noon) to participate in the Fall 2019 semester!

Participants will learn whom they are paired with at the mandatory PICL Peers Kick-off event on Thursday, Sept.19

If you see this don't fill out this input box.

Tell Us Who You Are*I am an International studentI am a U.S. student

Personal Information

Your Cell (Mobile) Phone*

Email Address*

First/Given Name*

Last/Family Name*

Age*

Home Country*

Religion

First Language*

Other language(s) Spoken*

Fluency In EnglishExcellentGoodFair

Gender*MaleFemaleNo-Binary/Third GenderPrefer to not say

Is This Your First Time Living In the U.S.?YesNo

Your First Semester/Year of Enrollment at SUNY Plattsburgh*

Your Anticipated Final Semester/Year of Enrollment at SUNY Plattsburgh*

Does Your Living Space Have Pets?*YesNo

Do You Smoke?*YesNo

Any Allergies, Dietary Requirements, or Medical Conditions?*

Professional and Recreational Information

Current/Anticipated Major*

Your Hobbies/Activities/Interests*

Your International Experience (travel, work/study abroad, etc.)*

Why Do You Want to Be Paired With a PICL Peer?*

Partnership Requests (Ideal Characteristics for Your PICL Peer)

Smoking Preference*Smoker(s)Non-Smoker(s)No Preference

Additional Partner Attributes That Might Be Important to You Religion, gender, smoking, pets, etc.

If We Cannot Meet All of Your Preferences, Will You Accept Being Paired With Another PICL Peer?*YesNo

Form UUID Site Name

Contact Us

Taeko KellyPICL Program FacilitatorGlobal Education Office101 Broad StreetPlattsburgh, NY 12901Phone: 518-564-3287Fax: 518-564 3292[email protected]

Taeko KellyPICL Program FacilitatorGlobal Education Office101 Broad StreetPlattsburgh, NY 12901Phone: 518-564-3287Fax: 518-564 3292[email protected]