International Student Volunteers, Inc.

2008 Europe Application

Last Name	First Name	Middle Name	Nickname

Number & Street (Current address - While at school)	City	County	PostCode	Country

Number & Street (Permanent address- While at school)	City	County	PostCode	Country

Mobile Phone	Email	Age
			Male Female

Home Phone	Alternate Email Address	Date of Birth

Country of Birth	Country of Residences	Nationaility of Passport

Emergency Contact 1	Relationship	Phone	Email Address

Emergency Contact 2	Relationship	Phone	Email Address

University (if applicable)	University Major (if applicable)

School year	T-Shirt size
1^st Year 2^nd Year 3^rd Year 4^th Year	S M L XL XXL

Do you have any physical disabilities?	Yes No	Please Explain
Do you have any allergies?	Yes No	Please List
Do you take any prescribed medications?	Yes No	Please List
Do you have any special dietary needs?	Yes No	Please List
Are you a returning ISV participant? If yes, what country & year?	Yes No

PROJECT PREFERENCE: Check the boxes that apply below. Remember, the more flexible you are, the easier it will be for ISV to reserve a place for you. (Your actual project will be assigned one month prior to departure to your host country).

	I would like to participate in a conservation project. Australia, New Zealand, Costa Rica, Ecuador and Thailand
	I would like to participate in a social community development project. Costa Rica, Dominican Republic, Ecuador and Thailand. (Australia & New Zealand Community Development projects in Fiji. You must complete one project in Australia or New Zealand prior to the Fiji Community Development Project.)
	I am willing to do anything and have no project preference.

Please state full name of any student/friend you would like to be placed with, as well as the name of the university they attend.

HOST COUNTRY: In the spaces provided number each country in order of preference ("1" is your first country preference). Then, circle all the departure dates on which you are available to travel in each 2-week programme during May through September 2007. Remember, the more flexible you are the easier it will be for ISV to reserve a place for you.


AUSTRALIA	NEW ZEALAND	COSTA RICA	DOMINICAN REP	ECUADOR	THAILAND
14 June 28 June 12 July 26 July 9 Aug 23 Aug	14 June 28 June 12 July 26 July 9 Aug 23 Aug	29 June 13 July 27 July 10 Aug 24 Aug	15 June 29 June 13 July 27 July 10 Aug 24 Aug	29 June 13 July 27 July 10 Aug 24 Aug	15 June 29 June 13 July 27 July 10 Aug 24 Aug

Why would you be a suitable participant on ISV's programmemes?

Date university classes end for summer (if applicable)	Date university classes begin in fall (if applicable)

Hobbies/interests: (Please list activities/interests you enjoy most)

Travel experience: (Please list all foreign countries to which you have travelled)

Do you speak Spanish? Yes No

If yes, how proficiently? Beginner Intermediate Advanced Fluent

	I am interested in the 5 day Spanish Language and Latin Dance Lessons (Costa Rica/Ecuador/Dominican Republic programmemes only. ) (see info on website) Note: There will be an additional cost for Spanish Lessons, and participants will depart early.
	I am interested in the Optional Fiji 5-day Excursion at the conclusion of the ISV programme in Australia/New Zealand (see info on website).
	I am interested in the one-week Galapagos Island Excursion at the conclusion of the ISV programme in Ecuador (see info on website).
	I am interested in earning Academic Credit (for details, go to our website www.isvonline.com). Note: Students are responsible for determining in advance the transferability of units to their home institutions. There will be an additional cost for Academic Credit.
	I am interested in finding out more about fundraising ideas to assist in offsetting the cost of the programme.

How did you find out about the ISV summer programme?
ISV past participant:		Friend:		E-mail	Website	Internet	STA Travel
	Name		Name
Classroom/Flyer announcement Name of announcer						Other

LIABILITY AGREEMENT: I VERIFY THAT ALL THE ABOVE INFORMATION IS CORRECT; I FURTHER AGREE TO ABIDE BY ALL THE LAWS OF THE COUNTRY I WILL BE VISITING INCLUDING, BUT NOT LIMITED TO, REFRAINING FROM ANY USE OF ILLEGAL DRUGS. I REALIZE THAT ISV REQUIRES EACH PARTICIPANT TO HAVE HIS/HER OWN TRAVEL/MEDICAL INSURANCE WHICH WILL COVER THE PARTICIPANT WHILE IN THE COUNTRY OF TRAVEL AND AGREE TO SECURE SUCH INSURANCE PRIOR TO MY DEPARTURE TO MY FOREIGN COUNTRY. I HAVE READ, UNDERSTAND, AND AGREE TO ABIDE BY ALL THE POLICIES STATED IN ISV'S TERMS & CONDITIONS (SEE COPY ON THE ISV WEBSITE UNDER "TERMS & CONDITIONS" AT WWW.ISVONLINE.COM)

Your Signature	Date	INTERNATIONAL STUDENT VOLUNTEERS, INC.
		ADDRESS: Unit 214, Buspace Studios, Conlan Street, London W10 5AP PHONE: +44 (0) 208 206 6021 FAX: +44 (0) 208 964 9244 EMAIL: isvuk@isvonline.com WEBSITE: www.isvonline.com