Part I: Applicant Information

Name

First Name

Last Name

Applicant's Birthdate

Applicant's Sex

Female

Male

Applicant's Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Applicant's Cell Phone

Country

(###)

###

####

Current Grade

Name of School

Height

Weight

T-Shirt Size

Please note this is adult not youth t-shirt size

Parent/Guardian Full Name

First Last

Parent/Guardian Relationship to Applicant

Parent/Guardian Cell Phone

Parent/Guardian Email

Parent/Guardian 2 Full Name

First Last

Parent/Guardian 2 Relationship to Applicant

Parent/Guardian 2 Cell Phone

Parent/Guardian 2 Email

Does Parent/Guardian 2 live with applicant?

Yes

Number living in household

Do you have a passport?

Name as it appears on your passport

Optional

Please list FOUR RLT programs that you are interested in participating in

Please number 1 through 4 with #1 being your first choice.

Why do we ask for four 4? GOH works with RLT and scholarship recipients to place them on the trip that is the strongest match for a rewarding summer experience. Preference, dates, group size and group median age all play into placement.

List any dates during which you are NOT available to travel with RLT this summer

i.e., do you have any week long commitments already, are you still in school in mid-June?

Complete ONLY if you have listed Costa Rica or Ecuador trips as of interest: How many years of Spanish have you studied?

Optional

Have you traveled before?

Yes

Have you traveled abroad before?

Yes

If you have traveled before where? And with whom?

Optional

Have you done any volunteer work? If so what? And how much/for how long?

Do you have a part-time or full-time job?

Please describe

Do you participate in any extra curricular activities or sports, and/or what are your hobbies?

Please describe

Part IB: Fill out only if you are applying for a specific scholarships

If you are interested and eligible for one of our dedicated scholarships please let us know which one you are applying for: (optional)

Why you are applying for this specific scholarship

Optional — Please note: this can also be addressed in your essay question.

Part II: Financial Information

Please estimate how much your family can contribute towards the following: Airfare. Program cost.

As previously outlined, GOH scholarships are typically do not cover 100% of the program/airfare costs. Family contributions can be other scholarships, or small fundraising campaigns such as gofundme

Please indicate any further information that may be helpful in understanding your financial situation

Optional

Is there a significant difference between last year’s and this year’s income for your family? If so can you please explain?

Is there any additional financial information that is not reflected on the tax returns? (optional)

Optional

Part IIB: Submit 2 years of Tax Returns

Please email two years of tax returns to scholarships@geographyofhope.org. Include applicant's name in the subject line.

Part III: Essay - Why would you be a terrific match for a Geography of Hope scholarship, and what specific impacts could this opportunity have on your life?

Please Take Some time to thoughtfully and honestly respond to this essay question.. We ask that you limit your essay response to 650 words.

Part IV: References

Please submit two references

These can be counselors, coaches, teachers, advisors. We do not accept peers or direct family members as references. Please check in with your reference person(s) before listing them to confirm they are willing to fill out a short reference form and recom

Reference 1 Name

Reference 1 Relationship to Applicant

Reference 1 Email

Reference 2 Name

Reference 2 Relationship to Applicant

Reference 2 Email

Part V: Unofficial Transcript

Please provide an unofficial school transcript. Indicate how you will be sending this in i.e. via email or upload. Please put the applicant's name in the subject line.