Please fill out the whole form to provide your contact information
and to let us know your interests and preferences.
Please provide your gender and approximate age:
Do you have children with you in the US?
If yes, please list their names, gender (M/F), and year of birth,
one per line
e.g., Johnny, M, 2007:
To get the most benefit out of your English conversation,
recommend that you
have someone else care for your children during your weekly conversation time.
Can you do that?:
Do you have a preference for the gender of your conversation partner?
I want a female partner
I want a male partner
Either male or female partner is OK
Tell us about your interests!
Country of Origin:
Your Occupation or Job Experience:
Stanford Department Affiliation (not applicable for spouses):
How long will you be at Stanford? From the month of
to the month of
(use YYYY-MM format, such as 2020-12, for each date)
Are you taking English classes?
If Yes, where do you take classes?
If you have any questions about English in Action or other CCIS programs, please email