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 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 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 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 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 Next