Irish Outreach San Diego J1 Summer 2017 Intake Form
Name *
Your answer
Email *
Your answer
How are you coming to the U.S. this summer? *
If you answered other please give details
Your answer
What college do you attend in Ireland? *
If you chose other please specify
Your answer
Will you be over 21 during your J1 *
How many of your friends do you estimate will be travelling with you this summer *
Your answer
What area are you most interested in receiving information on *
Required
Are your flights booked yet? *
Date of Arrival. If currently unknown, please estimate. *
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