2016 Orkila International Applicaiton

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First Name *

Last Name *

Email Address *

Parent/Guardian's Email Address *

Mailing Address - Street *

Mailing Address - City, State, Zip Code *

Cell Phone # *

Parent/Guardian's Phone # *

Parent/Guardian(s)' Names *

What grade will you be entering in the fall of 2016?

10th

11th

12th

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Why would you like to participate in the Orkila International Program? *

Please limit your answers to no more than 125 words.

What is a specific aspect of your life that demonstrates your commitment to the YMCA Core Values of Respect, Responsibility, Honesty, and Caring? *

Please limit your answers to no more than 125 words.

Describe a time that you experienced a culture other than your own. What did you learn from that experience? *

Please limit your answers to no more than 125 words.

Submit

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