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Nicaragua Spring Break Application

Nicaragua Spring Break application. Please email your responses to the email provided as soon as possible.

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Xavier Gonzalez Rosales
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40 views

Nicaragua Spring Break Application

Nicaragua Spring Break application. Please email your responses to the email provided as soon as possible.

Uploaded by

Xavier Gonzalez Rosales
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Hillcrest Interact Club Spring Break - Nicaragua, March 8th 15th

This trip covers your flight, hotel, transportation, tours, and meals. Misc personal expenses are covered by the students. The trip
consists of volunteer and service opportunities (i.e.: painting, helping children, etc.) and fun (i.e.: volcano hike, zip lining, etc.)
.

What events have you participated in with the Interact Club and other volunteer organizations?
___________________________________________________________________________________
How would you describe your strengths?
____________________________________________________________________________________

Why should you represent the Interact Club in Nicaragua?


____________________________________________________________________________________
What would make this trip a success for you?
____________________________________________________________________________________

Please provide your full legal name as it appears on your passport or government-issued ID:
Print Name __________________________________________________________________________
Last

First

Middle

Permanent Address ___________________________________________________________________________


City__________________________________________ State ______________ Zip Code __________________
Phone # (____)__________________
E-mail Address __________________________________________Date of Birth ______/______/___________
Passport #___________________________________________ Expiration Date__________________________
City and State where passport was issued _____________________________________________________
th

th

Does your schedule permit you to go on the trip (March 8 14 )?

YES

NO

Parents / Guardian Names________________________________ Phone #______________________


Parents / Guardian Signatures __________________________________________

SUBMIT THIS APPLICATION BY MONDAY, JANUARY 27th TO


[email protected] OR DROP IT OFF TO MS. McNUTTS ROOM
Remember no school on Monday (Martin Luther King Day).

Hillcrest Interact Club Spring Break - Nicaragua, March 8th 15th


This trip covers your flight, hotel, transportation, tours, and meals. Misc personal expenses are covered by the students. The trip
consists of volunteer and service opportunities (i.e.: painting, helping children, etc.) and fun (i.e.: volcano hike, zip lining, etc.)

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