Wednesday, February 07, 2018




'via Blog this'

Language Partners Program

oAre you internationally minded?
o Would you like to practice using another language?
o Want to make friends from around the world?

The Language Partners Program is just for you!

We'll match you with a partner who is learning your language and both of you can increase your knowledge and understanding of each other's language.

Just fill out the application (on the back) along with the safety waiver (pages 3 & 4) and turn in to:

American Language Center at the Lindbrook Center 10920 Lindbrook Dr., Los Angeles CA, 90024
Phone: 310-794-3251
Fax: 310-794-3259

Language Partner Program Application
The purpose of the Language Partners Program is to match international and American students (and/or community volunteers) in order to increase their knowledge and understanding of each other's language.
Fill out the application and return to the American Language Center's front desk at the Lindbrook Center (10920 Lindbrook Dr. Suite 100). Please also fill out the Safety Waiver.
You should receive information about your partner within 3 weeks of submitting your application.

Today's Date (Month/Day/Year)
Language of Interest

Name First:
Gender □ Male □ Female
Languages you are Fluent in:
UNEX American Language Center Students (check one) □ AIEP: Academic
Please indicate level __________
□ IECP: Communication
Volunteer (check one): Are you a…:
□ UCLA Student
□ Student-Other
□ Non-Student
Conversation Partner Preference: (Please Check One)
□ Male
□ Female
□ No Preference (Please Check One)
□ Lives On Campus
□ Lives Off Campus
□ No Preference
Special Requests/Comments:
If you cannot be matched with a partner, would you like to participate in a group of people who are interested in an English only intercultural exchange? Please Check One: □ Yes □ No
Please write clearly

Language Partners Program: Safety Information and Waiver
Before your first meeting with our language partner:
Please read carefully the safety information and waiver below, then sign and return to the American Language Center's front desk at the Lindbrook Center (10920 Lindbrook Dr. Suite 100)
When you meet your language partner, for your safety, please:
1. Meet only in a public place (e.g. coffee shops or food courts in Westwood);
2. Do not get in a car driven by someone you do not know;
3. Do not go to any parties or other activities hosted by someone you do not know;
4. Do not drink alcohol with your language partner. Remember that language exchange is an opportunity for you to practice English.

I understand that the "Language Partners" program is a voluntary extracurricular program. By signing below, I acknowledge (1) I have read and understand the SAFETY INFORMATION ABOVE; (2) I agree to follow the four conditions of the SAFETY INFORMATION.

I have read and understand the safety information and waiver and agree to all recommendations and conditions.

Print Name

Signature Date

Office Use Only
□ Photo ID (photo copy attached)
□ Participant phone number__________________________
□ Participant Email _______________________________

Participants name:

Please Print


Waiver of Liability, Assumption of Risk, and Indemnity Agreement

Waiver: In consideration of being permitted to participate in any way in Language Partners Program
Hereinafter called "The Activity", I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue The Regents of the University of California, its officers, employees, and agents from liability from any and all claims including the negligence of The Regents of the University of California, its officers, employees and agents, resulting in personal injury, accidents or illness (including death), and property loss arising from, but not limited to, participation in The Activity.

Signature of Parent/Guardian of Minor Date Signature of Participant Date

Assumption of Risks: Participation in The Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary one activity to another, but the risks range from 1) minor injuries such as scratches, bruises, and sprains 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions to 3) catastrophic injuries including paralysis and death.
I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary and that I knowingly assume all such risks.
Indemnification and Hold Harmless: I also agree to INDEMINFY AND HOLD The Regents of the University of California HARMLESS from any and all claims, actions, suits, procedures, cots, expenses, damages and liabilities, including attorney's fees brought as a result of my involvement in The Activity and to reimburse them for any such expenses incurred.
Severability: The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
Acknowledgement of Understanding: I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.

Signature of Parent/Guardian of Minor Date Signature of Participant Date
Participant's Age (if minor) ____
Post a Comment