Full Name:
Address:
Telephone:
Email Address:
School:
Grade Level: --- Choose One --- Freshman Sophomore Junior Senior
Please send me information about college credit through Champlain College: --- Choose One --- Yes No
send me an application for financial assistance: --- Choose One --- Yes No
I) Answer questions below. Use up to one full page per response as needed. II) Ask two mentors to write letters of support on your behalf. Each mentor must comment on your level of interest in environmental science, policy and government, or international exchange, and your curiosity, maturity, resilience, perseverance and ability to function in a group. We will begin reviewing applications on February 1st, 2010, and continue to accept applications thereafter until spaces are filled.
Validation Code:
Re-Type Code:
(From the image above. NOTE: The code is case-sensitive)