Conversation Exchange Request Form

Looking for a speaking partner to improve my:*

French
English

Your name:*
Email address:*

Age:*

Gender:*

Male
Female

Nationality:*

Program:

LEA LCE Erasmus Other I'm not a student

If "Other", please specify:

Year of Study:

First Second Third Masters N/A

Availability*

What days/times are you available to meet your partner at the Fac?

Would you accept a conversation exchange partner of the opposite gender?*

Yes
No

Contact Information:

Phone number*

Other phone number

Any other comments or extra information?