2025 WYOMING 4-H CULTURAL TRAVEL APPLICATION
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
*
Youth's Email
*
example@example.com
Parent's Email
*
example@example.com
Home Phone Number
*
Please enter a valid phone number.
Youth's Cell Phone Number
*
Please enter a valid phone number.
Parent's Cell Phone Number
*
Please enter a valid phone number.
Gender
*
Please Select
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
What trip are you applying for?
*
Please Select
Finland
Italy
I would like to be considered for either
Have you ever lived, studied, and/or visited anywhere outside the U.S.?
*
Please Select
Yes
No
Provide a brief description of the location.
Your Involvement --List the clubs, organizations, and activities you are or have been involved with, Include specific leadership roles association with them
*
Describe the most significant leadership role or opportunity in which you have participated
*
Why do you want to participate in the Wyoming Cross-Cultural Experience program?
*
Are there any other special considerations we should be aware of that could impact your full participation in this experiential learning program?
*
I agree that all of the information in this application is true and I agree that if chosen to participate, I will participate in ALL program activities including the pre-departure orientation, meetings, exchange, and follow-on activities. If I am selected to participate, but cannot commit the time required, I will forfeit my position to another applicant.
Youth's Signature
*
Parent's Signature
*
Submit
Should be Empty: