Foreign Language Residence Program Application

First Name *

Last Name *

Z-ID# *

Email *

Phone *

Home

Cell

Secondary phone

Home

Cell

Permanent address *

Campus/local address

This upcoming semester, I will be a *

Where are you transferring from? *

Which language group do you wish to join? *

French

Spanish

Japanese

Tagalog

Your major(s) *

Your minor(s)?

Language Background

List all languages have you studied and for how many years. * 🛈

What foreign language class(es) are you taking at NIU this upcoming semester? (Please list language and course number.) * 🛈

What role did the Foreign Language Residence Program play in your choice to attend NIU? *

Main reason

Significant role

Minor role

None

Do you have any health concerns that the community advisor or coordinator should be aware of (ex., Diabetes, epilepsy, etc.)? Please note: this information will remain confidential.

Requirements

Prospective participants must be able to meet the following requirements to receive one credit for the FLRP course:

Sign a pledge to speak the chosen language at dinner
Attend class Monday through Thursday, 5-6 p.m.
Participate in weekly language night presentations and special FLRP activities

Programming Fee:

There is a $50 dollar programming associated with The Foreign Language Residence Program. The $50 fee will be added to your Bursar’s account if you live on the Foreign Language Residence Program floor in Stevenson. If you do not live on The Foreign Language Residence Program floor in Stevenson, you will need to write a check for $50 to The Foreign Language Residence Program by the second week of each semester. The fee covers the overnight Taft Retreat during fall semester and all excursions.

By checking this box I agree to have the Foreign Language Residence Program assess this fee to my bursar's account at the start of each semester I am a participant in the program. *

I agree

Signature of student *

clear

Signature of parent or guardian (if student is under 18)

clear

Date * +