Spring Break Sonoma County Open Nicaragua Work Group Application March 14-22, 2020
If you have questions or difficulties filling out this form, please contact the SOL office at
dan@seedsoflearning.org
or (503) 704-2565. Please complete this entire application.
* Required
Name and contact information
First name (As it appears on your passport)
*
Your answer
Middle name (As it appears on your passport)
Your answer
Last name (As it appears on your passport)
*
Your answer
Nickname (preferred name)
Your answer
Daytime phone
*
Please include area code
Your answer
Primary email address
*
Your answer
Mailing address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Country
*
Your answer
Biographical Information
Date of birth
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Gender neutral
What is your level of fluency in Spanish?
*
Choose
Low
Intermediate
Advanced
Have you participated on a Seeds of Learning work group before?
*
Yes
No
Passport Information
It is your responsibility to have a current passport that is valid for SIX MONTHS beyond your travel dates.
Do you already have a passport that is valid for six months beyond your travel dates?
*
If you do not have a current passport, you should apply for a new one immediately
Yes
No
If yes, provide your passport number
Your answer
Passport expiration date
MM
/
DD
/
YYYY
Next
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