Application The extended application deadline for the Fall 2010 & Spring 2011 Sessions is March 15th, 2010.

Please note that a complete application consists of this online form, one LANGUAGE REFERENCE, and two CHARACTER REFERENCES. We cannot review any applications until they are complete.

Applicant Information
Select Session For Which You Are Applying:	Session Fall Spring Year 2008 2009 2010 2011 2012
First Name:
Last Name:
Sex:	MaleFemale
Email:
Social Security Number:
Date of Birth:	Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901
University(ies) attended and Degree(s) and GPA Earned:
Graduate School Status/Plans: (explanation)
Spanish Level: (you don't have to know Spanish to participate)	-Select- No Spanish High School Spanish College Spanish Conversationally Proficient Almost Fluent Fluent
Please elaborate on your Spanish experience, including courses taken, experience abroad, etc...
We do not require previous Spanish language experience; however, to achieve the goals of the program, we strive to accept students who have proven their ability to acquire a language. To ensure that we do so, we ask that you give THIS FORM to your most recent Spanish/foreign language teacher for him/her to fill out and e-mail directly to info@somoshermanos.org as an attachment.
Contact Information
Permanent Address:
City:
State:
Zip:
Home Phone:	(ie: 213-555-5555)
Cell Phone:	(ie: 213-555-5555)
Emergency Contact Information
Name:
Relation to the Participant:
Home Phone:	(ie: 213-555-5555)
Cell Phone:	(ie: 213-555-5555)
E-mail Address:
Needs and Preferences
Please list any medical conditions, dietary needs, or allergies you have that may affect your participation in this program. Also, include any prescription medicines you take regularly so that we may check for their availability at the pharmacy in Xela. Note: all information provided is strictly confidential and will not affect whether or not you will be accepted to the program.
Volunteer Preferences:	1st Choice Health and Nutrition Education After-School Education School & Home Construction Teaching English Alternative Energy Projects Hospital Patient Companion Program Women's Cooperative 2nd Choice Health and Nutrition Education After-School Education School & Home Construction Teaching English Alternative Energy Projects Hospital Patient Companion Program Women's Cooperative 3rd Choice Health and Nutrition Education After-School Education School & Home Construction Teaching English Alternative Energy Projects Hospital Patient Companion Program Women's Cooperative
Somos Hermanos can arrange for our students to live in a variety of households (e.g. households with or without children, pets, etc...). If you have any specific requests for your homestay family, please list them here. Please note, however, that making a request does not necessarily guarantee that we will be able to accommodate your preferences.
Essays (Maximum word counts are listed, but conciseness is appreciated and certainly not punished) What are your career goals? Please include details (e.g. location, specialty, populations served, etc...), driving forces, and how the Student Immersion Program is relevant to your career goals (400 words or less) What do you expect to take away from this program? (400 words or less) What do you think will be your biggest challenge during the program? How do you plan to cope with this challenge? (300 words or less) Do you have any experiences in a developing country or impoverished area? How do you think you will adapt to spending 6 months in Central America, without many of the conveniences you are accustomed to? (300 words or less) Given that the Student Immersion Program can be unpredictable and challenging, which of your personality traits, characteristics and/or skills would help contribute to your success? (300 words or less) Please give an example of what you have learned from either a cross-cultural experience or a situation where you have interacted with people from a background different than your own (300 words or less) Many of the volunteer projects will entail manual labor. Have you had any experience with such work and are you comfortable with it? (200 words or less) Please list the three activities/jobs/internships that have been most important to you (include 1-2 sentences about each) Will you be applying for financial aid? Yes or No. If yes, please complete the financial aid application. Please download the FINANCIAL AID APPLICATION, fill it out, and e-mail it to info@somoshermanos.org as an attachment. (Note: as the financial aid application is lengthy, we recommend that you start as soon as possible.) Tell us something interesting about yourself. Anything! (1-2 sentences) Character Reference Character Reference: You will need to DOWNLOAD THIS FORM and give it to two people who can provide a sense of your character. We strongly recommend that at least one of your references be from a person you know professionally (boss, manager, etc.) or scholastically (professor, advisor, etc.). Those people will then need to e-mail the completed form to info@somoshermanos.org as an attachment.

NOTE: A completed application consists of this online form, one LANGUAGE REFERENCE,
and two CHARACTER REFERENCES.We cannot review any applications until they are complete.

Last Updated: 2010-02-23
6a Calle 7-31 Zona 1 Quetzaltenango
Guatemala, Central America
info@somoshermanos.org