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Language House

Application for Residency

Please email or mail your completed Application to the Language House Director:

Astrid Jirka,

Language House

Cornell University

105 Boldt Hall

Ithaca, New York 14853

Office: 607.255.9050

  1. Personal information

Name:
Family Name / First Name / Middle Name
Birthdate: / Gender: /  Male  Female
CU ID#: / Fall2014 Status: /  Soph  Jr Sr  Grad
College: / Major:
I plan to reside in the Language House during the:
 Academic Year /  Fall Semester /  Spring Semester
If only one semester, please explain why: ______
Current Address
Number and Street
City / State / Province / Zip / Postal Code / Country
Tel: / E-mail:
Permanent Address
Number and Street
City / State / Province / Zip / Postal Code / Country
Tel: / E-mail:
I am a current or former Language House resident:  Yes  No
If yes, please indicate language section:
I found out about the Language House through the following sources:
Language House: /  Events /  Open House /  Class Visits
 Residents / Dinners / Publications
Other Source: /  Faculty /  Administrator /  Friend
 Campus Life /  Other

II. Language Background

Please indicate your intended target language; if more than one, please number in order of preference:

Arabic / French / Spanish
Japanese / Mandarin / German
My background in my target language(s) includes:
Language Courses Taken or Currently Taking / Institution / Dates
Cornell language courses I intend to take while in the Language House
Title / Course #
Title / Course #
Language Experience Abroad
Place / Type of Exposure / Dates
Other Language Experience
Place / Type of Exposure / Dates

III. Application Essays: Add sheets; one or two paragraphs per question will do.

For new residents:

  1. What are your major interests, talents, and skills and how have you worked to develop them?
  2. What are your language and cultural interests and goals?
  3. What activities would like to participate in or see implemented at the Language House? How will you work to make these activities successful?

For current or former residents:

  1. Please describe your previous participation in the Language House.
  2. How can the program be improved? How do you plan to be involved in activity planning next year?

Special Room assignment needs: (We will do our best to honor these, but cannot guarantee.)

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IV. Statement of Commitment

In order for the Language House to be successful, all students must agree to be active participants and are, therefore, asked to take the following Pledge. If, when applying, you feel there may be difficulties for you to uphold this pledge, please communicate with the LH Director first.
If I become a resident of the Language House, I agree to:
  • Attend an orientation session at the beginning of the semester, the day before classes begin.
  • Dine together 4 times per week (some exceptions will be made)
  • Attend one conversation hour activity per week (some exceptions will be made)
  • Use my target language during all Language House activities, to the best of my abilities
  • Take at least one course in my target language, unless exempted by the program director.
  • Help conceive of, organize and attend language and/or cultural events within my language group and between language groups.
  • Assist with recruiting by making classroom visits in the fall or other activities, as fits my schedule.
I understand that failure to comply with these conditions may result in dismissal from the program.
If you forsee any conflicts with the above pledge, please describe them here:
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Applicant’s Signature: / Date:

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