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Local Connections Application 19-20

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.
What year are you?
Is this your first year at Cal Poly? 
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 like to interact with your student?  *This question is required.
Please provide us with an emergency contact outside your home. *This question is required.

The Local Connections program is growing rapidly as a resource for out-of-state and international students. With the growing popularity of our program with out-of-state and international students, we have a need for "Super Locals."   

Super Locals are community members who are willing to go beyond their connection with their assigned student to occasionally help other students throughout the year. For example, "Super Locals" can support one or more students through opening an extra seat at their table during the holidays or providing a ride to the airport. Simply identify below that you'd like to be on our distribution list of "Super Locals" and we will keep you posted on impactful ways you can help our community. 

Would you like to be added to our list of "Super Locals"?  

*This question is required.
Would you like to be matched with a local sponsor, fellow out-of-state students, or both? *This question is required.
As an experienced out-of-state student, you have the opportunity to become a Peer Mentor for a first or second-year student. This role provides an exciting way to connect with fellow out-of-state and international students. As a Peer Mentor, we may ask you to connect with a student who has not yet received a Local Sponsor match or to provide advice from the perspective of an experienced student.
Which part of the program would you like to participate in? Please select 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? *This question is required.
Do you have any sensitivities with family pets? *This question is required.
Are you comfortable being connected with a family that has children? *This question is required.
Please provide us with an emergency contact: *This question is required.