Cross Cultural Partners: Online Application System

	CCP: Online Application System

	Cross Cultural Partners

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Your Information

• All fields in Sections I and II are required. Incomplete fields in these sections will delay your participation in the CCP program.

• Fields in Section III are optional.

CCP Agreement:
• I agree to meet at least 5 times and 5 hours with my CCP Partner this quarter.
• I agree to meet with my partner on campus for the first meeting, within one(1) week of hearing from him or her.
• I also agreee to notify my partner, CCP, and my instructor right away if I cannot complete this partnership.

Questions? See our FAQ page.

Section I: Your Information

First Name:
Last Name:
Student ID#:	(De Anza ID, not your SSN#.) Do you have a valid De Anza Student ID card? (You will need to bring it with you to the interview.) Yes No

City (current residence):
Zip Code:

E-mail (also your username):
Retype E-mail:
Cell Phone:	( )
Phone:	( )
Password:
Retype password:
Challenge Question: (For password recovery.)
Challenge Answer:

Are you an international student?:	Yes No

Section II: CC Partner Matching Information

Age:
Your Gender:	Male Female
	I only want a partner that's the same gender. (Example: if you are a woman, you want a partner that's also a woman.)
Country of Origin:

First Language:
Second Language:

Major:

Section III: CC Partner Auxiliary Matching Information

Select up to two(2) of your favorite music types:
Favorite Music(1):		Favorite Music(2):

Select up to two(2) of your favorite sports:
Favorite Sport (1):		Favorite Sport (2):

Select up to two(2) of your favorite hobbies:
Favorite Hobby(1):		Favorite Hobby(2):

Select two(2) of your personality traits:
Personality(1):		Personality(2):

Other Comments: