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participant Application

Start your Global Routes journey with these steps:

Step 1: Submit your 10-minute application and pay the $20 application fee – that’s where you are now!

Step 2: Schedule your 15-30 minute student interview

Step 3: Confirm your spot with a $600 deposit

PARTICIPANT INFORMATION

Participant's Name(Required)

First Last

Participant's Email(Required)

Please include a student email that you check regularly and is not a parent's email (parent/guardian email will be requested later in this application).

Participant's Phone Number(Required)

Participant's Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Participant's Gender(Required)

Participant's Preferred Pronouns(Required)

Participant's Date Of Birth(Required)

MM slash DD slash YYYY

I identify my race, ethnicity, or origin as...(Required)

Please select all that apply.

White

Hispanic, Latino, or Spanish origin

Black or African American

Asian

American Indian of Alaska Native

Middles Eastern or North African

Native Hawaiian or Other Pacific Islander

Other race, ethnicity, or origin

I do not wish to provide this information

Participant's High School Graduation or Anticipated Graduation Year(Required)

Participant's Current School Name(Required)

PROGRAM INTEREST

Which Year Is This Student Applying For?(Required)

Which Program Is The Student's First Choice?(Required)

Which Program Is The Student's Second Choice?(Required)

We do everything possible to ensure students travel on their first choice program! However, in the case that a first choice program is full or unavailable due to unforeseen circumstances, we ask all students for their second choice.

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email(Required)

Parent/Guardian Phone(Required)

Would You Like To Enter Information For A Second Parent/Guardian?(Required)

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email(Required)

Parent/Guardian Phone(Required)

MEDICAL/HEALTH HISTORY

Health information: Do you have or have you ever had any of the following?(Required)

Epilepsy

Heart Condition

Asthma

Diabetes

Joint or back problems

Gastrointestinal disease or issue

None of the above.

Please explain any prior diagnoses further.(Required)

Do any of the following apply to you? Please mark all that apply.(Required)

I have dietary needs or restrictions.

I have allergies.

I have been diagnosed with a learning difference.

I have physical, psychological, or chronic conditions that may prevent me from participating in activities.

I am UNable to swim.

I have been suspended or expelled from school, camp, or travel programs.

None of the above.

Please explain your selections above.(Required)

Are you currently taking any prescription medications? If none, please enter "N/A.".(Required)

For each, please list medication, dosage/frequency, prescribed for, and will you take during program?

FINAL DETAILS

How did you hear about us?

Web Search

GoOverseas.com

GoAbroad.com

TeenLife.com

Social Media

Advertisement

Friend/Sibling/Parent

Counselor or Teacher

Gap Year Counselor

Windsor Mountain

Camp

Global Routes Alum

Carpe Diem Alum

Carpe Mundi

In-Person Event

Virtual/Online Event

Other

Previous Summer Camp Name:

If you've previously attended a summer camp, please list it here.

Counselor or Teacher Referral Name:

Gap Year Counselor Referral Name:

Global Routes Alum Referral Name:

Carpe Diem Alum Referral Name:

Tell us how more about how you heard about us:

If you attended an in-person event, let us know where it was. If you attended a virtual event, let us know which one.

Do You Have Any Questions For Your Global Routes Enrollment Team?

Do you agree to receive text messages from Global Routes about your application and any next steps only?(Required)

We will not add you to any marketing without your consent.

This field is hidden when viewing the form

Persona

This field is hidden when viewing the form

Business Unit(Required)

Non-Refundable Application Fee

Global Routes Application Fee

Price:

Coupon

Total

CREDIT CARD INFORMATION

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

Card Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Submit Application

Terms(Required)

I have read and agree to the terms of the Essential Eligibility Criteria and Global Routes Participant Policies. I also acknowledge that the application fee is non-refundable.

Review by clicking the links below

Essential Eligibility Criteria Participant Policies and Expectations

Global Routes

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CONTACT

Global Routes PO BOX 17427 PORTLAND, OR 97217 413.585.8895

hello@globalroutes.org

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MADE WITH ♥ BY BONITO.STUDIO

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