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Application Forms

Complete the application form online or print and mail the completed form to Abroad Impact.

Personal Information

Name
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School Address(*)
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Permanent Address
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Phone Number(*)
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Alternate Phone Number
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Email Address
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Date of Birth
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Citizenship
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Emergency Contact Information.

Person Name
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Address
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Telephone Number
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Email
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Relationship
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Program Information

Choose program are you are applying
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Choose Season(*)
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Start Date
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How did you hear about us
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Education

School Name
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Instituiton Address
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Degree
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Graduation date or Expected date
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Major/Minor
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Cumulative GPA
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Major GPA
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Scholastic honors or achievements
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List courses you taken that may be relevant to the program you are applying for
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Are you requesting that your college grant academic credit for your participation in this program
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Employment and volunteer experience include paid volunteer and intern positions

Most Recent Employer
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Employer Contact
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Employer Address
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Position
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Duration
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Duties
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Interests Skills Talents Please list any special skills interests and talents you are proud of especially those that you may be interested in developing and or sharing while in Ghana
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References Please provide two professional or personal references

1st Reference Name
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Relationship to 1st reference
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1st Reference Contact
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How long have you know 1st reference
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2nd Reference Name
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Relationship to 2nd reference
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2nd Reference Contact
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How long have you know 2nd reference
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Payment

Make Payment

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Date
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All Internship applicants must include a resume with their application