YEAR INTENDING TO TRAVEL:
A. I wish to apply to attend as a:
Student Representative Adult Delegate Supervising Adult
B. The name of the group I will represent is
C. My position in or role with this group is
D. My SRC Adviser is
E. My / our contact details are as follows:
Mailing Address
Phone Fax
Email (if available)
F. Name of Parent / Guardian approving this application
Signature of Parent / Guardian
Date:
G. Name of Principal who is aware of this application
Signature of Principal
Date:
H. What experiences in student leadership and representation do you have? Why do you wish to go on this tour? Why do you think you are a good candidate to represent your country on this tour?