YAPSA Adult Application 2017
Youth Ambassadors Program with South America
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Name (First name) *
Surnames (Last names) *
Sex *
DNI *
Birthday *
MM
/
DD
/
YYYY
Street Address *
City *
Province *
Where are you from if not your current place of residence?
Phone Number *
Email (this will be used to notify you of acceptance) *
How did you hear about Yapsa? *
Passport Information
Citizenship *
Are you currently applying for additional citizenship or permanent residency? *
Please list all countries in which you have or are currently applying for citizenship or permanent residency (if applicable):
Have you ever traveled outside of Perú? If yes, please list all countries: *
Do you have a valid Passport? *
You must be a Peruvian citizen in order to be eligible for this program. You are not required to have a passport in order to be eligible to apply for this program. However, if accepted you will need to apply for and obtain a passport.
Education and Job
Highest Level of Education Achieved *
School Name *
Please list any (current or past) community groups or activities you are involved in and the amount of time you were involved:
Current Employer *
Please list your current employer, date in which you started, and the specific duties that you perform.
In what ways are you actively working with youth in a secondary school or community setting? *
Languages
English *
Please note that you must be proficient in English to be eligible for this program.
Beginner
Intermediate
Advanced
Fluent
Speaking
Writing
Reading
Do you speak any other languages? If so, please list below.
Family Information
Are any family members applying to or participating in YAPSA? If yes, list all family members that apply: *
Essay Questions
Essay questions need to be written in English
Short Essay: Why are you interested in participating in this program? *
Short Essay: Do you have experience mentoring, teaching or otherwise working with youth? Please describe. *
Long Essay: Please describe a problem facing your community, nation or the world, and tell us why it matters to you. *
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