P.K. Yonge - China Trip Applications
if you are interested in traveling to China in November of 2017, please complete this form!
Student Name
Your answer
Grade Level NOW
You must be a 9th-12th grader in year of participation
Your answer
Parent Email Address
Your answer
Confirm Parent Email Address
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Parent Phone Number
Your answer
Student Email Address
Your answer
Student Phone Number
Your answer
If scholarship funds become available, will you be seeking a travel scholarship based on need?
Please list any medical/dietary restrictions or preferences
Please indicate whether the items you list are restrictions or preferences. If none, please type n/a
Your answer
Please describe in up to 250 words, why you would like to participate in this international exchange.
Your answer
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