WorldOregon: Citizen Diplomacy Map Application 2021 Question Title * 1. First Name: Question Title * 2. Last Name: Question Title * 3. Your Email: Question Title * 4. Current Job Position and Workplace Question Title * 5. Your Home Country Question Title * 6. Dates of your international exchange program to Oregon Month/Day/Year Date Question Title * 7. Which Exchange Program did you participate in? IVLP PAYLP Youth Ambassadors IYLEP YLAI Fulbright JIAM Open World Business for Russia/Community Connections Other (please specify) Question Title * 8. Theme of your Program Question Title * 9. Please share your social media with us if you would like the community to connect with you. Linkedin Facebook Instagram Twitter Website Question Title * 10. Insert a link that you would like us to share about you and/or about the work you do. Question Title * 11. Tell us a bit about you: Where do you work or what do you study in school? What does being a Global Citizen look like in your life? Question Title * 12. What was a key takeaway from your time in Oregon, and/or how you have used the information you received here in your current work (if at all). Question Title * 13. Any positive message/word of advice to the readers you want to share Question Title * 14. Please upload a headshot of you for us to use in the Citizen Diplomacy Map Please ensure the images are not blurry PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Please ensure the images are not blurry Question Title * 15. Please upload a photo of you, your work, or your time in Oregon for us to use in the Citizen Diplomacy Map Please ensure the images are not blurry PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Please ensure the images are not blurry Question Title * 16. Please upload a photo of you, your work, or your time in Oregon for us to use in the Citizen Diplomacy Map Please ensure the images are not blurry PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Please ensure the images are not blurry Question Title * 17. Please upload a photo of you, your work, or your time in Oregon for us to use in the Citizen Diplomacy Map Please ensure the images are not blurry PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Please ensure the images are not blurry Question Title * 18. Please upload a photo of you, your work, or your time in Oregon for us to use in the Citizen Diplomacy Map Please ensure the images are not blurry PNG, JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Please ensure the images are not blurry Next