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EL SALVADOR TRIP APPLICATION


PERSONAL INFORMATION
First Name: required
Last Name: required
E-Mail Address: required
Student/Staff ID #: required
Class: required
Major(s):
Age:
Local Address: required
City: required
State: required
ZIP Code: required
Cell Phone: required ( ) -
Permanent Phone: ( ) -
Permanent Address: required
City: required
State: required
ZIP Code: required
SPANISH BACKGROUND
Please indicate your knowledge of Spanish, checking all that apply
 Native Speaker
 1-2 Years High School Spanish
 3-4 Years High School Spanish
 5-6 Years High School Spanish
 College-Level Spanish
Other: 
If you chose College-Level Spanish, please indicate the highest level course completed:
TRAVEL BACKGROUND
Please indicate any travel experience you have had outside the U.S. Include destination, time involved and purpose of the trip(s): required
EXPERIENCE
Construction and other practical skills/experience. Please check all that apply
 Masonry
 Carpentry
 Electric
 Plumbing
 EMT Training
 Farming
 First Aid Training
 Tutoring
Other: 
For any items checked above, please specify how you have used these skills:
STATEMENT OF PURPOSE

Please write a brief (up to one page) statement indicating why you wish to participate in this project. Please write this statement first in Word and save the document so that you do not risk losing it. Then, copy and paste your statement into the space provided.
Statement of Purpose: required
RECOMMENDATION

A recommendation from a faculty or staff member is needed in order to complete your application. Please have the faculty or staff member of your choice visit http://www.sacredheart.edu/ElSalvadorRec.cfm and complete their recommendation.
All of the above information is accurate to the best of my knowledge. By checking this box I am agreeing to use this as my electronic signature.: required


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