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Council-sponsored travel application
Council-sponsored travel application
Council-Sponsored Travel Application
Name of trip you are applying for:
Applicant Information:
Name:
First
Last
Address:
Street Address
Apt./Ste.
City
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AS
FM
GU
MH
MP
PW
PR
VI
AA
AE
AP
State
Postal Code
Home Phone:
Cell Phone:
Email Address:
Parent Name
Parent/Guardian Email Address:
Date of Birth:
Grade in School
Troop Number:
Service Unit:
References:
examples include (troop leader, coach, teacher, church member, youth group member, friend's parent, etc.):
Reference One:
Name:
First
Last
Phone Numer:
Area Code
Phone Number
Email Address:
Reference Two:
Name:
First
Last
Phone Number:
Area Code
Phone Number
Email Address:
Short Answer Questions:
Please describe why you want to participate in this trip.
What do you hope to learn from this experience?
What experience, knowledge, skills, and other attributes could you bring to this trip?
Briefly describe an experience away from home without your family (length of time, where, when, with whom). What were the best and worst parts?
What travel experience do you have? Where have you been in the U.S.? Have you traveled internationally? Where? How long were you there? What did you get to do? What were some challenges you faced?
Briefly describe your participation in any activity, which has required a long-term commitment (over 6 months) to teamwork and planning (school committees, event-planning, religious programs, etc.).
Applicant Signature. Clicking below will serve as your electronic signature for this application.
I authorize that this information is correct and in my own words.
A $150 deposit will be due immediately upon acceptance to this event. (It's part of the event fee, not in addition to it.)
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