Global Youth Village – Student Application – Mexico

APPLICANT INFORMATION

Name*

First Last

Gender*

Do you have a current Mexican Passport?*

No
Yes

If "YES" please fill in your Passport Number below. (If "NO" you may want to apply for one right away so if selected, you can act quickly to finalize your plans)

You must have completed a 2 year Access course as of March 2020. What is the date of your graduation from Access?*

Have you ever traveled to the United States before? If yes, please describe*

Name of your school?*

How old are you? Date of birth day/month/year*

Your Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Email*

Enter Email Confirm Email

Your Cell Phone*

PARENT INFORMATION

PARENT/GUARDIAN 1 - Name*

First Last

PARENT/GUARDIAN 1 - Occupation

PARENT/GUARDIAN 1 - Business Phone*

PARENT/GUARDIAN 1 - Cell Phone

PARENT/GUARDIAN 1 - Email*

Enter Email Confirm Email

PARENT/GUARDIAN 2 - Name

First Last

PARENT/ GUARDIAN 2 - Occupation

PARENT/GUARDIAN 2 - Business Phone

PARENT/GUARDIAN 2 - Cell Phone

PARENT/GUARDIAN 2 - Email

Enter Email Confirm Email

How did you hear about Global Youth Village?*

Please provide name of Individual/Referral Source

Youth APPLICANT QUESTIONS

Please answer ALL of the questions below. At least 2 paragraphs should be devoted to each question.

1. Why would you like to come to the Global Youth Village and what do you hope to learn?*

2.Please describe an event or experience that created a significant impression on you.*

3. What international experience have you had (e.g., travel, pen pals, international friends)?*

4. Please describe what qualities you feel a good leader should have and why?*

5. What kind of activities (sports, clubs, volunteering, leadership, etc) are you involved in? Which do you enjoy the most and why?*

AGREEMENT and SIGNATURES

PARTICIPANT AGREEMENT: I have read the Global Youth Village Website/Brochure, have read all and /or agree to read all other materials sent to me about Global Youth Village and be informed. I understand Global Youth Village’s mission and agree to comply by the GYV guidelines.*

I Agree
I Disagree

• Be open to new ideas and willing to listen • Respect other people’s point of view, cultural differences and music • Participate fully in all activities • Resolve conflict through communication • Engage in non-exclusive, open relationships which avoid cliques and pairs • Accept predominately vegetarian diet free of sugar for a short period of time • Abstain from tobacco, alcohol and illegal drugs

If my application is accepted, I understand that I must be available for a ten minute phone interview between March 20-30*

I Agree
I Disagree

PARTICIPANTS Signature*

I agree to follow the Global Youth Village guidelines

Date

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