Mexico Service Project (University) Application

Personal Information

Name*

First Last

Mother's Name*

Father's Name*

Address*

Street Address City State ZIP Code

Cell Phone Number – Student*

e.g. 123-456-7890

Cell Phone Number – Parent*

e.g. 123-456-7890

Email Address – Student*

Email Address – Parent*

Date of Birth*

Education

Name of School*

Year of College Graduation*

Grade Point Average*

(eg. 3.8/4.0 or 92%)

Passport Information

Passport Name*

If you already have a passport, enter your name as printed in the passport. If you do not have a passport yet, enter your full name exactly as you will submit it in the passport application.

Visit travel.state.gov for instructions on getting a passport.

Passport Number

Passport Issuing Country

Passport Expiration Date

Miscellaneous

Describe any personal, academic, athletic, travel-related or professional achievements that may be helpful to you as a volunteer.*

Foreign Language Skills*

Hobbies / Interests*

Motivation*

Please write a short essay explaining why you want to participate in the Mexico Service Project. What aspect(s) of the program do you find most appealing? How do you expect to contribute to the success of the program? What are you doing now so that you will be ready to give of yourself while you are in Mexico?

You may want to draft your essay prior to completing the online application and then copy and paste it into the box provided.

Reference*

Who recommended this program to you?

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