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Local Connections Application

Thank you for your interest in Cal Poly's Local Connections Program! After you complete the application, you will be contacted by Local Connections staff. Please note: all information will be shared with student or local sponsor.

I am a: *This question is required.
Are you a freshman or sophomore student?
Please provide us with the following information: *This question is required.
Please provide us with the following information: *This question is required.
Do you have any pets?  *This question is required.
Have you or anyone in your household ever been convicted of a felony or misdemeanor?  *This question is required.
We recommend meeting with your student at least twice a quarter to get the most out of the experience.  How often during the academic year would you want to interact with your student?  *This question is required.
Please provide us with an emergency contact outside your home. *This question is required.
I identify my gender as: *This question is required.
What is your admission status to Cal Poly? *This question is required.
Would you like to be matched with a local sponsor, other out-of-state students, or both? *This question is required.
Are you planning on participating in any extracurricular activities at Cal Poly?  If so, what are they? (Check all that apply) *This question is required.
Do you have any food restrictions or allergies? *This question is required.
We recommend meeting with your local sponsor at least twice a quarter to get the most out of the experience.  How often are you hoping to interact with your local sponsor? *This question is required.
Do you have any sensitivities with family pets? *This question is required.
Are you willing to be paired with a family that has children? *This question is required.
Please provide us with an emergency contact: *This question is required.