Applicant Information
Select Session For Which You Are Applying:
Session
Fall
Spring
Year
2008
2009
2010
2011
2012
First Name:
Last Name:
Sex:
Male Female
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) 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.
The application deadline for BOTH sessions has been extended to Friday, April 11th, 2008