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Cincinnati Sister Cities Youth Ambassador Application Form 2017
Students, please fill out all the required areas of the form. The form has 5 pages. Page 5 needs to be filled by your parent.
First name of student (as in passport or official documents) *
Please select the First country of CHOICE if any, for the next year 2017
This question is to help us assess the demand for programs in the different sister cities
Please select the country of your CHOICE for the Youth Ambassador Program for the year 2017 *
Required
Middle name of student (as in passport or official documents) *
Last name of student (as in passport or official documents) *
List email *
*
(Street, City, State)
Zip Code *
Gender *
Your date of birth *
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Name of the school you attend *
If your school is not listed above, please fill in the name of your school
Current year in school *
Please submit a link to your passport photo, if available.
Do you have a valid US passport *
If so, what is your passport number
Passport expiration date
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Do one of your parents/gaurdian have a valid passport? This is not a disqualifier. This ensures a parent can travel in case of an emergency.
Clear selection
Citizenship *
Frequent flyer number if any, otherwise indicate not applicable.
List your Face Book IDs if any
We will keep you updated on Facebook and Twitter
List your Twitter IDs if any
We will keep you updated on Facebook and Twitter
Your cell phone number with area code *
List an emergency contact number other than your parent *
Phone number of father
Work phone number of father
Phone number of mother
Work phone number of mother
Next
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