Andean Outeach Program

Andean Outreach Program 2008 Summer Immersion Program Volunteer Application

Before filling out this application, please make sure you have read the program information page on this website. Click the box on the right to indicate that you have done so.	Yes, I have read all related program information and understand what this Summer Immersion Program includes and what my responsibilities are.
First Name:
Last Name:
Email Address:
Date of Birth: (mm/dd/yyyy)
Primary Phone Number:
Address:
City:
State:
Zip Code:
Country of Residence:
Country of Citizenship:
Do you have a valid Passport?	Yes No
University Attending/ Attended
Field of Study / Intended Major
Date of Graduation
What is your Spanish skill level? (Spanish is not required for this program so please answer honestly)
Are you applying as:	An Individual With Friends
If you are applying with friends, please list their first and last names.
Why are you interested in participating in this program? (500 words or less)
What do you hope to learn and achieve from this Andean Immersion Experience? (500 words or less)
Please describe your relevant skills, interests, or experience that you bring to this program. (1000 words or less)
Is this your first experience traveling to a foreign country?	Yes No
If you answered No, please briefly describe your former experience traveling abroad. (500 words or less)
Are you comfortable working in a team atmosphere? If yes, please give us some examples of group work you have done in the past. (500 words or less)
Please tell us why you are interested in the South American Andes. (500 words or less)
Please indicate which subject area you are most interested in learning about on this trip.
If you answered other, please indicate your interest below
What expectations do you have for this trip and for the Andean Outreach Program staff?
Please list any medical conditions you have:
Please list any medications you are currently taking or will be taking during this trip.
Please list any allergies you have: (answer "none" if this doesn't apply to you)
Please list any dietary restrictions you have: (answer "none" if this doesn't apply to you)