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CISPES Election Observer Delegation Application
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Contact Information
Full Name
*
exactly as it appears on your passport
Your answer
Name you prefer to go by
Your answer
Birthday
*
You must be 18 or older to participate.
MM
/
DD
/
YYYY
Gender
*
Your answer
Passport Number
Your answer
Passport Expiration Date
*
You may not be able to enter El Salvador if your passport will expire within 6 months of your departure date after the delegation. We strongly recommend renewing your passport if it will expire soon.
MM
/
DD
/
YYYY
Email Address
*
Your answer
Cell Phone Number
*
Your answer
Home Phone Number
Your answer
Street Address
*
Your answer
City, State
*
Your answer
Zip Code
*
Your answer
Please list two references. Preferably someone involved in solidarity work a social justice organization, a teacher or mentor.
*
Include name, organizational affiliation, your reference’s relationship to you, phone number, and email address.
Your answer
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