Culture-to-Community Program - School Application
An initiative of the International Student Advising Office (ISA) at Memorial University, the Culture-toCommunity program strives to provide students in the Kindergarten to Grade 12 school system in Newfoundland
and Labrador with access to other cultures through direct, in-person contact with individuals from diverse cultural
backgrounds who have knowledge of topics of global significance.
If you would like to be considered one of the participating schools please fill out the form below and email it to
zaren@mun.ca or fax to (709) 864-6102. There is no cost to participate in this program.
Information collected in this application will be used solely to assist us in matching our volunteers with
participating schools.
School name:
__________________________
School location: __________________________
Name of class that you would like a student to present in:
________________________
Grade level of the class you would like a student to present in:
________________________
Times of the week that this class happens:
________________________
Ages of students in this class:
________________________
Number of students in this class:
________________________
Contact teacher’s name and position:
______________________________________________
Phone #: _____________________________
Fax #: _______________________
Email:
_____________________________
Website: _______________________
How culturally diverse is your school/community?
Not at all diverse
Slightly diverse
Fairly diverse
Very diverse
Has your school had opportunities to have people from other cultures/countries present to class(es)
before?
Yes
No
If yes, please give a brief description:
____________________________________________________________________________________
____________________________________________________________________________________
______________________________________________________________________________
What cultural experience would you offer the student volunteer? (For example, NL cultural
presentation/show, a town/community tour, skidooing, ice fishing, a meal with a host family/teacher, or
a cultural rendition from the cohort).
____________________________________________________________________________________
____________________________________________________________________________________
______________________________________________________________________________
What topic would you like our student volunteer to teach/present on? (For example: A student from
Japan could talk to an earth systems class about the tsunami which hit the country three years ago, a
Cameroonian student could teach French immersion students a folk song from her culture, or a
Moroccan student could talk about an important Islamic festival and the food related to it). Please be as
specific as possible.
____________________________________________________________________________________
____________________________________________________________________________________
______________________________________________________________________________
How would your class benefit from having one of our international or new immigrant students speak in
it?
____________________________________________________________________________________
____________________________________________________________________________________
______________________________________________________________________________
We cannot promise that student volunteers will have specific items with them when they visit, but which
of these resources would you think would be helpful to their presentation? (please check all that apply):
☐ Script/handwriting samples
☐ Pictures
☐ Posters
☐ Flags
☐ Handouts
☐ Clothing from their culture
☐ Coins from their country
☐ Other: ______________
Which of the following audio/visual equipment will be available for our student to use in their
presentation? (please check all that apply):
☐ Projector (to project PowerPoint
presentations)
☐ Wall space for hanging posters and/or
☐ Desktop or laptop computer
projecting onto
☐ Overhead projector
☐ Markers and pens
☐ Internet access
☐ Other: ____________
Is there anything you want us to consider when matching you with a volunteer?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Thank you for your application!
Due to budgetary constraints we cannot visit all schools that apply, but we promise to process your
application as quickly as we can and get back to you within a week or two.