Exposure 101 Application

student application

Name*
First Last
How Old Are You?*
Date of Birth (mm/dd/yyyy)*
High School Name?*
Parent's Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Parent's Phone Number:*
Parent's Email:*
Your Email:*
Describe your volunteer and extracurricular activities:*
What would you like to gain from Traveling to Guatemala with Exposure 101? Please answer in 50 words minimum in paragraph form:*
What does being a global citizen mean to you? Please answer in 50 words minimum in paragraph form:*
Minimum 2.5 GPA is required. Upload a copy of your most recent transcript:*
Max. file size: 20 MB.
Upload a copy of your current passport. If you do not have a passport, upload a copy of your original birth certificate:*
Max. file size: 20 MB.
I will attend required All Abroad pre travel events and requirements. Including volunteering at Mercedes Benz concession stands with our brother organization Men of Excellence for four (4) events (available dates: Mar 16, 29. Apr 5, 12, 29. May 3, 11, 17, 25, 28. June 3, 16)*
- Acknowledge
I will receive any immunizations that may be required.*
- Acknowledge
I will expedited my passport application if I do not already have a passport. If I have a passport, it expires more than 6 months after July 10th.*
- Acknowledge
I have discussed this application and all requirements with my Parent(s)*
- Acknowledge
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.