BBB Passport Program Application
This application must be completed in order to be cosndered for acceptance into the program. Please note, your completion of this form does NOT guarantee acceptance.
Email *
Full Legal Name *
Date of birth *
MM
/
DD
/
YYYY
Parent/Guardian name *
Parent/Guardian phone number *
Parent/Guardian email *
Mailing address *
Current Grade Level *
Do you have health insurance? *
Required
Name of insurance carrier (Please note, upon acceptance you will be asked for more detailed insurance information).
Do you have a current, valid passport? *
Required
What do you want to do when you finish school? *
If you decide to go to college, what do you want to study? *
Why do you want to be a part of the BBB Passport Program? *
What is a global issue that you think you can help change? How will you change it? *
Are you available to travel in the month of June? *
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