Application Date: May 19, 2013 Personal Details: Name: Email: Gender: MaleFemale Date of Birth: Phone: Nationality: (nation of citizenship: required for background screen) Current Address: Address Line 1 Address Line 2 City State Zipcode Permanent Address: Address Line 1 Address Line 2 City State Zipcode Other Information: Preferred Program - Choose one - Service Learning Youth to Youth Program Dates - Choose one - January Summer Recruitment Source Current School Languages Spoken Please describe your interest in volunteering abroad. Do you have specific goals or expectations for your experience? What aspects of the World Camp program interest you most and why? (Ex. teaching, HIV/AIDS, environmental issues, cultural exchange, etc.) Based on your knowledge of the mission of World Camp, please describe relevant skills or talents that you may bring to a volunteer team. Please describe any teaching or leadership experiences. Please describe a situation in which you worked with a group of people to achieve a goal. What aspects of your personality helped you most in contributing to the group? What challenges did you face? Please briefly outline other activities or groups in which you are currently involved. How do you plan to fundraise for your World Camp experience? Please provide any additional information that will assist us in your application assessment. THIS IS THE FINAL STEP IN THE ONLINE APPLICATION **Please agree to ALL policies and agreements before submitting this application. I have read and agree to the policies and liability agreements of World Camp More Information If you need information about any of our services, please feel free to use our contact form, send us an e-mail to firstname.lastname@example.org, or give us a call at 828-254-2339.