Cultural Connections Program

*Required Fields

* Name:

Phone Number:

* Email Address:

Local Address:

Year in School:

*Major/Minor:

*Home Country:

I would like to... (Check as many as you wish)

Speak to more than ten people
Speak to fewer than ten people
Speak to Elementary
Speak to Jr. High
Speak to High School
Speak at dinners, activities, etc.
Speak to students on-campus
Speak to students off-campus

I am interested in speaking about my country's... (check as many as you wish)

Please check any of the following items you have from your country that you would like to share with groups you visit: