Who Should Apply?

Do you have a desire to make a positive impact? Are you intrigued by living in another country? Great! We’d love for you to join our program.

To be eligible, you must meet a few additional requirements:
– Be a recent graduate from high school (past 1-3 years)
– Have not yet started college
– Have proficiency in English to be able to follow the program

Apply Now!

Join us for Changemaker Sprint by completing the following steps below:

  1. Complete and sign the application form on this page (remember to complete the short essay)
  2. Collect and send two recommendations: One from a college counselor or a teacher, and one from an extracurricular advisor to apply@changemakerintl.com

 

As soon as we receive your application and recommendations, we will conduct a brief interview with you via Skype.

I. Student Information

Full Name*

Street Address*

City*

State*

Country*

Home Phone*

Student Cell Phone

Student Email Address*

Skype ID

Name of High School or University*

Your Date of Birth*

What Sprint Program are you interested in?*

Age as of January 1, 2017*

Current Education Level*

If you selected “Other", please specify

Gender

What Race/Ethnicity do you most identify with?

I confirm that my passport is valid for six months beyond my planned entry date into Costa Rica (and at least one month after the end of the Changemaker program*

 

II. Parent/Guardian Contact Information

Parent's/Guardian's Name*

Street Address*

City*

State*

Country*

Home Phone*

Cell Phone

Email Address*

 

III. Emergency Contact

Name*

Street Address*

City*

State*

Country*

Home Phone*

Cell Phone

Email Address*

 

IV. Language

Is English your native language?*
 Yes No

If you answered “No”, what is your native language?

 

V. Essay

Please write a 400-600 word essay on ONE of the following two topics (please attach file or copy/paste text below):*

1. Tell us about a problem you would like to solve. What is this issue important to you? What would you do to solve the problem?
2. What do you believe are your three top strengths? Please describe a situation in which you used these strengths to make a positive change (in work, school, or in life).

 

VI. Connection

How did you hear about Changemaker International and the Changemaker Sprint program?*

If you selected “Other”, please specify

 

VII. Additional Information

Have you been put on probation, suspended or dismissed from any high school or college/university you have attended as a result or an academic or behavioral violation?*

 Yes No

Have you ever been convicted of a misdemeanor, felony or any other crime?*

 Yes No

If you answered “Yes” to either disciplinary question above, please provide an explanation below

Insurance:

Please note that Changemaker International does not assume responsibility for the medical insurance of participants in its programs. For this reason we require those attending our course to have, or purchase, medical insurance for the duration of the program. If your insurance does not cover you overseas, please research short-term international insurance policies. You will be required to provide proof of insurance once you have been admitted to the program; those who are not able to provide proof of insurance will not be permitted to take part in our program.

Financial Aid:

Would you like to be considered for a Changemaker Scholarship of $500?*

 

VIII. Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete.

Full Name*

Date*

Verify*
captcha