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Social Entrepreneur Corps 2012
1. Default Section
Thank you for your interest in Social Entrepreneur Corps. We are currently accepting applications for our 2012 programs.
FOR THOSE INTERESTED IN THE WINTER BREAK AND ALTERNATIVE SPRING BREAK PROGRAMS IT IS ONLY REQUIRED THAT YOU ANSWER QUESTIONS 1 THROUGH 13.
Due to the high volume of applications received, candidates will be contacted for an interview on the basis of the strength of his/her application.
Note: Once you have clicked "Done" you cannot go back into your questionnaire.
1
. How did you originally hear about Social Entrepreneur Corps: from your school, web search, Facebook, a friend/past participant, other?
How did you originally hear about Social Entrepreneur Corps: from your school, web search, Facebook, a friend/past participant, other?
*
2
. First Name:
First Name:
*
3
. Last Name:
Last Name:
*
4
. Email Address:
Email Address:
*
5
. Telephone Number:
Telephone Number:
*
6
. Age:
Age:
7
. Which program(s) are you interested in (G = Guatemala, E = Ecuador, N = Nicaragua, SA = South Africa, P = Peru, DR = Dominican Republic)?
Which program(s) are you interested in (G = Guatemala, E = Ecuador, N = Nicaragua, SA = South Africa, P = Peru, DR = Dominican Republic)?
Four Week Social Impact Immersion (G) July 15 to Aug 10 - OPEN
Four Week Social Impact Immersion (E) July 15 to Aug 10 - OPEN
Four Week Social Impact Immersion (N) July 15 to Aug 10 - CLOSED
Four Week Social Impact Immersion (SA) June 1 to June 30 - CLOSED
Four Week Social Impact Immersion (P) June 1 to June 30 - CLOSED
Four Week Social Impact Immersion (DR) July 15 to August 10 - CLOSED
Eight Week Social Impact Immersion (G) May 20 to July 13 - CLOSED
Eight Week Social Impact Immersion (E) June 2 to July 26 - CLOSED
Eight Week Social Impact Immersion (N) May 20 to July 13 - CLOSED
Engineering for Impact (G) July 23 to August 16 - OPEN
Flex Volunteering (G) Dec 1
Flex Volunteering (G) Jan 1
Flex Volunteering (G) Feb 1
Flex Volunteering (G) March 1
Flex Volunteering (G) April 1
Flex Volunteering (G) Sept 1
Flex Volunteering (G) Oct 1
Flex Volunteering (G) Nov 1
Flex Volunteering (E) Dec 1
Flex Volunteering (E) Jan 1
Flex Volunteering (E) Feb 1
Flex Volunteering (E) March 1
Flex Volunteering (E) April 1
Flex Volunteering (E) Sept 1
Flex Volunteering (E) Oct 1
Flex Volunteering (E) Nov 1
Flex Volunteering (N) Dec 1
Flex Volunteering (N) Jan 1
Flex Volunteering (N) Feb 1
Flex Volunteering (N) March 1
Flex Volunteering (N) April 1
Flex Volunteering (N) Sept 1
Flex Volunteering (N) Oct 1
Flex Volunteering (N) Nov 1
Social Innovator Program
Please include any comments here:
8
. University Name (if applicable):
Note: Students from Notre Dame, Duke, UConn, William and Mary, Miami University, and Franklin and Marshall should contact the appropriate responsible party/department per the instructions on the "Apply Now" page.
University Name (if applicable): Note: Students from Notre Dame, Duke, UConn, William and Mary, Miami University, and Franklin and Marshall should contact the appropriate responsible party/department per the instructions on the "Apply Now" page.
9
. University Graduation Year:
University Graduation Year:
Pre-University (in High School)
2015 (Freshman)
2014 (Sophomore)
2013 (Junior)
2012 (Senior)
Graduate Student
Graduate
10
. Spanish Language Level (not applicable to South Africa):
Spanish Language Level (not applicable to South Africa):
None
Beginner
Intermediate
Advanced
11
. Organization Affiliation:
Organization Affiliation:
Social Entrepreneur Corps Fellow
Nourish International
StartingBloc
None
Other
Other (please specify)
12
. Reason you are interested:
Reason you are interested:
13
. Number of participants in your group:
THIS IS ONLY RELEVANT FOR THE WINTER BREAK AND ALTERNATIVE SPRING BREAK PROGRAMS
Number of participants in your group: THIS IS ONLY RELEVANT FOR THE WINTER BREAK AND ALTERNATIVE SPRING BREAK PROGRAMS
Just me
2
3
4
5
6
7
8
9
More
14
. Relevant Work Experience:
Relevant Work Experience:
15
. Relevant Personal Experience:
Relevant Personal Experience:
16
. Personal Statement - tell us a bit more about yourself (one to two paragraphs):
Personal Statement - tell us a bit more about yourself (one to two paragraphs):
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