Perú Service Project – Application

"*" indicates required fields

Full Passport Name

If you already have a passport, enter your name exactly as it is printed on the passport. If you do not yet have a passport, enter your full name exactly as you will submit in the application to request your passport. If you do not have a middle name or initial, leave it blank.

First Name*

Middle Name or Initial

Last Name*

Personal Information

Father's Name

Mother's Name

Address*

Street Address City State ZIP Code

Home Phone Number*

Cell Phone Number - Student

Cell Phone Number - Parent*

Phone Number of Parent (emergency use only)*

Email Address - Student*

Email Address - Parent*

Please note: Both the student and parent email addresses will receive confirmation of your completed application after you click 'Submit' below. Both will also be used for all communication regarding the Peru Service Project: Announcements regarding acceptance or rejection to the program, deadlines, required travel forms, flight information, etc.

Date of Birth*

Education

Name of School*

Graduation Year*

Grade Point Average*

(eg. 3.8/4.0 or 92%)

Miscellaneous

Motivation*

Why do you want to participate in the Peru Service Project? How do you think it can help you to grow? What are you doing now to prepare yourself to grow in those ways?

Select the center that you attend weekly*

Please specify*

Center*

Please describe why you attend this center. How has the formation you receive there changed the way you choose to live your life?

Service*

Please describe how you try to live a spirit of service with your friends, at home, and when you are at the center you attend.

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

Hobbies / Interests*

Work Experience*

Teaching Experience*

Foreign Language Skills*

Do you suffer from any allergies and/or health conditions?*

Click for YES

Click For NO

Please specify*

Electronic Signature for Photo Release

Parents must sign for applicants under 18 years of age.

I hereby authorize and consent to the use and reproduction by YSI staff or an authorized agent or assignee of any and all photographs taken of the above-named applicant for the purpose of promoting YSI programs, without any compensation to me. All film, together with any prints, shall constitute property of YSI, solely and completely.

Reference*

Who recommended this program to you?

Comments

Interview

Upon submission, all applicants to the Peru service project will be contacted to schedule an in-person or virtual interview before acceptance.