Language Exchange Registration form


Language and Learning
	What students say
	Language and Learning advice
	Language Exchange
		Registration form
	Learning materials
	When making an appointment
	FAQ

[Print-friendly version]

Applications are valid for 1 calendar year and will need to be renewed each year

*Required fields

Name *
Date of Birth *	/ /
Student / Staff Number *	Gender*:
QUT Course / Department
Street Address
Suburb*	Postcode:
Email *
Contact Number *
Language(s) you can teach *
Level of proficiency *
Language(s) you wish to learn *
Level of proficiency *
Extra information you wish to add

Declaration

I understand that my telephone and/or email address will be given to another language exchange participant.

I understand that the main purpose of the Language Exchange Program is to learn and teach a language, and I will not use this program to promote other organisations or associations.

Check this box if you agree with the two statements above *.