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First name

Student´s First Name

Last name

Student´s Last Name

Tell us about yourself...

Where is your dream destination and why?

Have you ever traveled outside of your city? If so, where to?

Guardian´s Name

Guardian´s Email

Guardian´s Phone

Is this guardian (or someone else) able to participate?

Although guardian participation is not required at most meetings, guardians are required to participate when necessary as well as attend trips. If this is not a commitment you are able to make, please specify.

Does the guardian have a valid passport?

If other, please explain

Please upload proof of hardship and/or adversity