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Welcome to the Xicotepec Project online application

This application is for the trip that will take place March 14-22, 2026.
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    The Xicotepec Project is a joint service project of Rotary District 6000 and the Rotary Club of Xicotepec (Puebla) Mexico.  This application is for the trip that will take place March 14-22, 2026.

    The deadline for submitting your complete application (including the required $200.00 deposit and a youth reference, if applicable) is midnight, Sunday, November 16.

    Before beginning to fill out the application, you may want to:

    • prepare your Statement of Purpose (100 words or less)
    • prepare your Brief Bio (100 words or less)
    • have a scanned copy or image of your passport (image page and signature page) ready to upload
    • have a "headshot" image of yourself for the participant directory ready to upload
    • if you are 18 or younger, have contact information for parents/guardians
    • if you are 18 or younger, have a name and email address for a reference
      _____________________________________________________________

    Before proceeding, you must read the Conditions of Participation. Click on the link below to view the Conditions of Participation document.

    Conditions of Participation

    Please download or print the document so that you can refer to it later.

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    • Adel
    • Albia
    • Ames
    • Ames Morning
    • Ankeny
    • Ankeny Evening
    • Atlantic
    • Bettendorf
    • Bloomfield
    • Boone
    • Burlington
    • Carroll
    • Centerville
    • Chariton
    • Clinton
    • Coralville-North Corridor
    • Corning
    • Corydon
    • Creston
    • Dallas Center
    • Davenport
    • Decatur County
    • Denison
    • Des Moines
    • Des Moines A.M.
    • East Polk County
    • Fairfield
    • Fort Madison
    • Grinnell
    • HOPE
    • Indianola
    • Iowa City
    • Iowa City A.M.
    • Iowa City Downtown
    • Iowa Quad-Cities
    • Jefferson
    • Johnston
    • Kalona
    • Keokuk
    • Keosauqua
    • Knoxville
    • Lenox
    • Manning
    • Marengo
    • Marshalltown
    • Mount Pleasant Noon
    • Mt. Pleasant
    • Muscatine
    • Nevada
    • Newton
    • North Scott (Davenport)
    • Northwest Des Moines
    • Norwalk
    • Osceola
    • Oskaloosa
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    • Pella
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    • Washington
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    • WDM Rotary
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    • West Liberty
    • West Polk County
    • Winterset
    • My Rotary Club is not in this list
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    • Iowa State University
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    • Boone HS Interact Club
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    • Clear Creek Amana HS Interact Club
    • Clinton HS Interact Club
    • Fairfield Interact Club
    • Greene County HS Interact Club
    • IC City HS Interact Club
    • IC West HS 1440/Interact Club
    • Indianola HS Interact Club
    • Keokuk HS Interact Club
    • Liberty HS Interact Club
    • Marshalltown Interact Club
    • Mt. Pleasant HS Interact Club
    • North Scott & Iowa Quad-Cities
    • North Scott HS Interact Club
    • Ottumwa HS Interact Club
    • Perry HS Interact Club
    • Roosevelt HS Interact Club
    • SE Polk HS Interact Club
    • Tipton HS Interact Club
    • Valley HS Interact Club
    • West Liberty HS Interact Club
    • My Interact Club is not in this list
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    type your house number, street and if applicable, apartment or suite number
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    type your city
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    If your address is outside the U.S., choose "Other" at the bottom of the list
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    • Iowa - IA
    • Alabama - AL
    • Alaska - AK
    • Arizona - AZ
    • Arkansas - AR
    • California - CA
    • Colorado - CO
    • Connecticut - CT
    • Delaware - DE
    • District of Columbia - DC
    • Florida - FL
    • Georgia - GA
    • Hawaii - HI
    • Idaho - ID
    • Illinois - IL
    • Indiana - IN
    • Kansas - KS
    • Kentucky - KY
    • Louisiana - LA
    • Maine - ME
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    • Missouri - MO
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    • New Hampshire - NH
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    • New Mexico - NM
    • New York - NY
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    • North Dakota - ND
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    • Oklahoma - OK
    • Oregon - OR
    • Pennsylvania - PA
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    Enter the name of your state, department, region, etc.
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    type your city
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    United States of America
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    • United States of America
    • Albania
    • Algeria
    • Andorra
    • Angola
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Australia
    • Austria
    • Azerbaijan
    • Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Côte d'Ivoire
    • Cabo Verde
    • Cambodia
    • Cameroon
    • Canada
    • Central African Republic
    • Chad
    • Chile
    • China
    • Colombia
    • Comoros
    • Congo (Congo-Brazzaville)
    • Costa Rica
    • Croatia
    • Cuba
    • Cyprus
    • Czechia (Czech Republic)
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Eswatini (fmr. "Swaziland")
    • Ethiopia
    • Fiji
    • Finland
    • France
    • Gabon
    • Gambia
    • Georgia
    • Germany
    • Ghana
    • Greece
    • Grenada
    • Guatemala
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Holy See
    • Honduras
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Mauritania
    • Mauritius
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Morocco
    • Mozambique
    • Myanmar (formerly Burma)
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • North Korea
    • North Macedonia
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine State
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Poland
    • Portugal
    • Qatar
    • Romania
    • Russia
    • Rwanda
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • South Africa
    • South Korea
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Sweden
    • Switzerland
    • Syria
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tonga
    • Trinidad and Tobago
    • Tunisia
    • Turkey
    • Turkmenistan
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Venezuela
    • Vietnam
    • Yemen
    • Zambia
    • Zimbabwe
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    What is the best number where you can be reached?
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    If you have another phone number, enter it below
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    -
    Pick a Date
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  • 23
    Please Select
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    • S
    • M
    • L
    • XL
    • XXL
    • XXXL
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  • 24
    Please Select
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    • F - female
    • M - male
    • O - other
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    Please Select
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    • I want to share lodging with a female
    • I want to share lodging with a male
    • I will pay extra for individual lodging
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    Please Select
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    • I want to share lodging with another person
    • I will pay extra for individual lodging
    • Either is fine with me
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  • 27
    This will be your first introduction to many of the other team members and to those in Xicotepec – what would you like them to know about you? Your Bio will be used in a Project Team Directory that will be distributed to the rest of the project team and to our Rotarian hosts in Xicotepec. Note: You may not ask that we use prior years' entries. Please write a new one in the space below (100 words maximum).
    0/100
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    Please provide a brief statement (100 words maximum) of why you wish to participate in The Xicotepec Project.  Suggested themes include: What hopes, expectations or goals do you have, and how will your participation in the Project help to fulfill them? In what way do you think you can contribute to the Project?
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    Drag and drop files here
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    Max. file size: 4.0MB
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    Please Select
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    • I have a US passport, valid through September 22, 2026
    • I have applied for a US passport or for renewal of my passport
    • I will be travelling with a non-US passport
    • I do not have a passport, but I will apply NOW so that I have it by December 31
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    Select files to upload
    Max. file size: 4.0MB
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    United States of America
    • Please Select
    • United States of America
    • Albania
    • Algeria
    • Andorra
    • Angola
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Australia
    • Austria
    • Azerbaijan
    • Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Côte d'Ivoire
    • Cabo Verde
    • Cambodia
    • Cameroon
    • Canada
    • Central African Republic
    • Chad
    • Chile
    • China
    • Colombia
    • Comoros
    • Congo (Congo-Brazzaville)
    • Costa Rica
    • Croatia
    • Cuba
    • Cyprus
    • Czechia (Czech Republic)
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Eswatini (fmr. "Swaziland")
    • Ethiopia
    • Fiji
    • Finland
    • France
    • Gabon
    • Gambia
    • Georgia
    • Germany
    • Ghana
    • Greece
    • Grenada
    • Guatemala
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Holy See
    • Honduras
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Mauritania
    • Mauritius
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Morocco
    • Mozambique
    • Myanmar (formerly Burma)
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • North Korea
    • North Macedonia
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine State
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Poland
    • Portugal
    • Qatar
    • Romania
    • Russia
    • Rwanda
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • South Africa
    • South Korea
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Sweden
    • Switzerland
    • Syria
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tonga
    • Trinidad and Tobago
    • Tunisia
    • Turkey
    • Turkmenistan
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Venezuela
    • Vietnam
    • Yemen
    • Zambia
    • Zimbabwe
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    -
    Pick a Date
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    Please Select
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    • Under 18 years of age
    • 18 years of age or older
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    Whether or not you travel with a parent, the parent whose information you give below will receive copies of all correspondence related to your participation in The Xicotepec Project.
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  • 43
    Please Select
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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  • 46
    Please Select
    • Please Select
    • Single
    • Married
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  • 47
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  • 49
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  • 50

    Health Insurance Requirement 

     You must have adequate health insurance coverage while in Mexico. Failure to carry insurance may result in denial of permission to participate in the project, forfeit of any fees paid or denial of treatment while outside the US. Please read the statement below and answer the following question to indicate your agreement to these conditions (if you are under 18, you will also be provided with a form which a parent or guardian must sign).

    You must agree to the following conditions:

    • I understand the need for health insurance while traveling abroad and will, if not already covered, purchase a policy and, if asked, provide the pertinent information to the Project Coordinator before I am allowed to participate in The Xicotepec Project.
    • I certify that my health care insurance coverage will be maintained for the duration of the Project trip.
    • I understand that failure on my part to obtain health insurance may result in dismissal from the Project Team and forfeiture of any fees paid.
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  • 51
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  • 52
    Please Select
    • Please Select
    • Excellent
    • Good
    • Fair
    • Poor - If you are in poor health, participation in The Xicotepec Project is inadvisable
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  • 53
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  • 54
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
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  • 55
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  • 56
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  • 57
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  • 58
    Please Select
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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    Please Select
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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    Please Select
    • Please Select
    • None or virtually none
    • Less than 2 years of high school or 2 semesters of college
    • More than 2 years of high school or 2 semesters of college
    • More than 4 years of high school or 4 semesters of college
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    For Youth Participants: Potential Partial Reimbursement

    If you are...

    • a D6000 Interactor
    • a D6000 Rotaractor
    • a D6000 Junior Rotarian
    • a D6000 high school student who has received endorsement from a District 6000 Rotary Club
    • a D6000 Rotarian under 30 years of age who has received the endorsement of a District 6000 Rotary Club

    ...and you are a first-time participant in The Xicotepec Project (or if you previously participated but did not receive financial support from the District 6000 Youth Services Fund), you may be eligible for a reimbursement of up to $1,000 toward the cost of your trip.

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    You have indicated that you do not agree to the Conditions of Participation. You must agree to the Conditions of Participation in order for your application to be considered. Do you wish to continue with your application?
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    You have indicated that you do not agree to the requirements for health insurance. You must have adequate health insurance coverage in order for your application to be considered. Do you wish to continue with your application?
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    The Final Step: Payment of a $200 Deposit

    Your application is not complete until you have paid a $200 deposit, which must be received by November 16, 2025. If the deposit is not paid by November 16, your application will not be considered.

    If you have completed the application and paid the $200 deposit, you will be notified of your acceptance as a Project Team member in early December, after which the deposit becomes non-refundable. The deposit will be applied toward the cost of the trip, and the balance will be billed to you in two equal parts that will be due on December 7 and January 23. Please plan accordingly.

    Payment will be by check.

    1. Mail checks to the Xicotepec Project Treasurer at the address below. If you have a bank account but do not use a checkbook, be aware that most banks will provide a cashier's check, often at no cost, which can be paid for with a debit card (not a credit card). If you are concerned about your check being lost in the mail or stolen, consider using a USPS tracking service such as Ground Advantage or Priority Mail.

    Checks should be sent to:
    The Xicotepec Project
    Keith Hobson, Treasurer
    21101 620th Ave,
    Nevada, IA 50201-7926

     

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    Before you hit "SUBMIT" you may leave comments or additional information below.
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The application period for the March, 2025 trip to Xicotepec has closed. 
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