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First Name (legal) *

Last Name *

Email *

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Date of Birth (mm/dd/yyyy) *

Age Bracket * Under 18 18 - 25 26 - 39 40 - 59 Over 60

Country of Current Residence * -- Select One -- United States Canada Australia United Kingdom --- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d’Ivoire 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 Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong S.A.R., China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia 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 South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Viet Nam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

State/Province * Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon

Zip Code (Current Residence)

Gender (as indicated on your birth certificate or passport) * Female Male

Gender Identity Female Male Transgender Female Transgender Male Nonbinary Agender Not Listed

Preferred Location * Tanzania Nicaragua Costa Rica Panama Thailand Laos Southeast Asia Package USA: Pacific Northwest USA: Hawaii WILD: Outdoor Leadership & WFA Course Specialized Trip Undecided

When do you want to go on a trip? * 2024 2025 2026 2027 I don't know

Are you a student? * Yes No

High School

What university are you attending/have attended? Alabama A&M University Alabama State University Alaska Pacific University Albany State University Alcorn State University Allen University American Baptist College American Public University System American University Amherst College Anderson University Appalachian State University Arizona State University Arkansas State University Arkansas Tech University Art Institute of Las Vegas Ashford University Auburn University Augustana College Austin College Ball State University Bates College Baylor University Bellevue College Belmont University Benedict College Bennett College Bennington College Bethune-Cookman University Binghamton University - State University of New York Bishop State Community College Bismarck State College Black Hills State University Bluefield State College Boise State University Boston College Boston University Bowdoin College Bowie State University Bowling Green State University-Main Campus Bridgewater State University Brigham Young University-Hawaii Brigham Young University-Idaho Brigham Young University-Provo Brown University Butler University California Polytechnic, San Luis Obispo California Polytechnic Pomona California State University, Northridge California State University, Bakersfield California State University, Chico California State University, Dominguez Hills California State University, Fresno California State University, Fullerton California State University, Long Beach California State University, Los Angeles California State University, Sacramento California State University, San Bernardino California State University, Stanislaus California State University-East Bay California State University-Long Beach Capella University Carnegie Mellon University Carroll College Carver College Casper College Castleton State College Catholic University of America Central Michigan University Central New Mexico Community College Central State University Central Washington University Chaminade University of Honolulu Champlain College Chapman University Charles Darwin University Charles Sturt University Charter College-Anchorage Cheyney University of Pennsylvania Claflin University Clark Atlanta University Clemson University Cleveland State University Clinton College Coahoma Community College Coastal Carolina University Colby College College of Charleston College of New Jersey College of Southern Idaho College of Southern Nevada College of William and Mary Colorado Mesa University Colorado State University-Fort Collins Columbia University in the City of New York Concord University Coppin State University Cornell University Creighton University CUNY Hunter College Dakota State University Dartmouth College Davidson College Delaware State University Delaware Technical Community College-Owens Delaware Technical Community College-Stanton/Wilmington Delaware Technical Community College-Terry Denmark Technical College DePaul University Des Moines Area Community College Dillard University  Drake University Drexel University Duke University East Carolina University Eastern Kentucky University Eastern Michigan University Eastern New Mexico University-Main Campus Eastern Washington University Edward Waters College Elizabeth City State University Elon University Emory University Emporia State University Fairmont State University Fayetteville State University Fisk University Florida A&M University Florida Atlantic University Florida Gulf Coast University Florida International University Florida Memorial University Florida State University Fordham University Fort Hays State University Fort Valley State University Franklin Pierce University Gadsden State Community College Gallaudet University George Mason University Georgetown University George Washington University Georgia Institute of Technology-Main Campus Georgia Southern University Georgia State University Gonzaga University Grambling State University Grand Canyon University Grand Valley State University Hampton University Harding University Harris-Stowe State University Harvard University Hawaii Community College Hawaii Pacific University Hinds Community College Hinds Community College at Utica Hollins University Howard University Humboldt State University Huston-Tillotson University Idaho State University Ilisagvik College Illinois State University Indiana State University Indiana University-Bloomington Indiana University of Pennsylvania-Main Campus Indiana University-Purdue University-Indianapolis Interdenominational Theological Center Iowa State University Ithaca College J. F. Drake State Technical College Jackson State University James Madison University Jamestown College Jarvis Christian College Johns Hopkins University Johnson & Wales University-Providence Johnson C. Smith University Johnson County Community College Kansas State University Kaplan University-Davenport Campus Keene State College Kennesaw State University Kent State University at Kent Kentucky State University Keuka College Knoxville College Kutztown University of Pennsylvania Lane College Langston University Laramie County Community College Lawson State Community College Le Cordon Bleu College of Culinary Arts-Las Vegas Lehigh University LeMoyne-Owen College Lewis & Clark College Liberty University Lincoln University Livingstone College Longwood University Louisiana State University Louisiana State University and Agricultural & Mechanical College Loyola Marymount University Loyola University-Chicago Marquette University Marshall University Massachusetts Institute of Technology Meharry Medical College Mesa Community College Metropolitan Community College Area Metropolitan State College of Denver Miami University-Oxford Michigan State University Middlebury College Middle Tennessee State University Miles College Minnesota State University-Mankato Minot State University Mississippi College Mississippi State University Mississippi Valley State University Missouri State University-Springfield Monroe Community College - SUNY Montana State University Montana State University-Billings Montana Tech of the University of Montana Montclair State University Morehead State University Morehouse College Morehouse School of Medicine Morgan State University Morris College Murray State University Nassau Community College Nevada State College New Mexico Highlands University New Mexico State University-Main Campus New York University Norfolk State University North Carolina A&T State University North Carolina Central University North Carolina State University at Raleigh North Dakota State College of Science North Dakota State University-Main Campus Northeastern State University Northeastern University Northern Arizona University Northern Illinois University Northern Kentucky University Northern State University North Idaho College Northwest College Northwestern University Northwest Nazarene University Norwich University Notre Dame Oakland University Oakwood University Oberlin College Ohio State University Ohio University Oklahoma City University Oklahoma State University Old Dominion University Oral Roberts University Oregon State University Other Pacific Lutheran University Paine College Paul Quinn College Pennsylvania State University-Main Campus Philander Smith College Pittsburg State University Plymouth State University Point Loma Nazarene University Portland Community College Portland State University Prairie View A&M University Princeton University Providence College Purdue University-Main Campus Quinnipiac University Radford University Regis University Rhode Island College Rhode Island School of Design Rocky Mountain College Roger Williams University Rowan University Rust College Rutgers University-Newark Rutgers University-New Brunswick Sacramento State University Sacred Heart University Saint Anselm College Saint Cloud State University Saint Louis University-Main Campus Saint Michael's College Salisbury University Salt Lake Community College Sam Houston State University San Diego State University San Francisco State University San Jose State University Santa Barbara City College Santa Fe Community College Savannah State University Seattle Pacific University Seattle University Selma University Seton Hall University Shaw University Shelton State Community College- C A Fredd Campus  Shepherd University Sheridan College Shorter College  Simmons College of Kentucky  Sonoma State University South Carolina State University South Dakota School of Mines and Technology South Dakota State University Southeastern Louisiana University Southeast Missouri State University Southern Connecticut State University Southern illinois University of Carbondale Southern Maine Community College Southern New Hampshire University Southern Oregon University Southern University and A&M College Southern University at New Orleans Southern University at Shreveport Southern Utah University South Florida University Southwestern Christian College Southwestern College Spelman College St. Augustine's University St. Cloud State University St. Philip's College Stanford University Stillman College Stony Brook University Sunny College of Technology at Delhi SUNY at Albany SUNY at Binghamton SUNY at Geneseo SUNY College at Buffalo SUNY College at New Paltz SUNY Cortland SUNY ESF SUNY Oneonta SUNY Oswego Syracuse University Talladega College Temple University Tennessee State University Texas A&M Health Science Center Texas A&M International University Texas A&M University at Galveston Texas A&M University-College Station Texas A&M University-Commerce Texas A&M University-Corpus Christi Texas A&M University-Kingsville Texas A&M University-Texarkana Texas College Texas Southern University Texas Tech University The College of New Jeresy The Lincoln University Tougaloo College Towson University Trinity Lutheran College Troy University Truckee Meadows Community College Tufts University Tulane University of Louisiana Tuskegee University Union College University at Albany - State University of New York University at Buffalo - State University of New York University California, Riverside University of Akron University of Alabama University of Alabama at Birmingham University of Alabama - Huntsville University of Alaska Anchorage University of Alaska Fairbanks University of Alaska Southeast University of Arizona University of Arkansas University of Arkansas at Little Rock University of Arkansas at Pine Bluff University of Arkansas-Fort Smith University of Auburn University of California, Davis University of California, Santa Barbara University of California-Berkeley University of California Irvine University of California-Los Angeles University of California Merced University of California Riverside University of California-San Diego University of California Santa Cruz University of Central Arkansas University of Central Florida University of Central Missouri University of Central Oklahoma University of Chicago University of Cincinnati University of Colorado Boulder University of Colorado-Colorado Springs University of Colorado Denver University of Connecticut University of Dayton University of Delaware University of Denver University of Florida University of Georgia University of Hartford University of Hawaii at Hilo University of Hawaii at Manoa University of Hawaii-West Oahu University of Houston University of Idaho University of Illinois at Chicago University of Illinois at Urbana-Champaign University of Iowa University of Kansas University of Kentucky University of Louisiana at Lafayette University of Louisville University of Maine University of Mary University of Maryland-Baltimore County University of Maryland-College Park University of Maryland Eastern Shore University of Maryland-University College University of Massachusetts Amherst University of Massachusetts - Lowell University of Memphis University of Miami University of Michigan University of Minnesota-Duluth University of Minnesota-Twin Cities University of Mississippi University of Missouri-Columbia University of Missouri-Kansas City University of Montana University of Montana-Western University of Nebraska at Kearney University of Nebraska at Omaha University of Nebraska-Lincoln University of Nevada, Las Vegas University of Nevada-Reno University of New England University of New Hampshire University of New Haven University of New Mexico University of North Carolina - Asheville University of North Carolina at Chapel Hill University of North Carolina at Charlotte University of North Carolina - Greensboro University of North Carolina - Wilmington University of North Dakota University of Northern Colorado University of Northern Iowa University of North Florida University of North Texas University of Notre Dame University of Oklahoma Norman Campus University of Oregon University of Pennsylvania University of Phoenix-Online Campus University of Phoenix-Phoenix-Hohokam Campus University of Pittsburgh-Pittsburgh Campus University of Portland University of Puget Sound University of Rhode Island University of Richmond University of San Diego University of San Francisco University of Santa Clara University of South Alabama University of South California University of South Carolina-Columbia University of South Dakota University of Southern Maine University of Southern Mississippi University of South Florida-St. Petersburg University of South Florida-Tampa University of Tennessee University of Tennessee at Chattanooga University of Texas at Arlington University of Texas at Austin University of Texas at San Antonio University of the District of Columbia University of the Virgin Islands University of Toledo University of Tulsa University of Utah University of Vermont University of Virginia University of Washington University of West Florida University of Wisconsin, Oshkosh University of Wisconsin Colleges University of Wisconsin-Eau Claire University of Wisconsin-La Crosse University of Wisconsin-Madison University of Wisconsin-Milwaukee University of Wisconsin-Whitewater University of Wyoming University San Diego Utah State University Utah Valley University Valdosta State University Vanderbilt University Villanova University Virginia Commonwealth University Virginia Polytechnic Institute and State University Virginia State University Virginia Union University Virginia University of Lynchburg Voorhees College Wake Forest University Walden University Washington State University Washington University in St Louis Wayne State College Wayne State University Weber State University Wesley College West Chester University Western Carolina University Western Kentucky University Western Michigan University Western Oregon University Western Washington University West Virginia State University West Virginia University Whitworth University Wichita State University Wilberforce University Wiley College Williams College Wilmington University Winona State University Winston-Salem State University Winthrop University Wright State University Wyotech-Laramie Xavier University of Louisiana Yale University Youngstown State University Other.

What university are you attending/have attended? Aberystwyth University American Intercontinental University Anglia Ruskin University (Cambridge) Anglia Ruskin University (Chelmsford) Aston University Bangor University Bath Spa University Belfast Royal Hospitals Birmingham City University (UCE) Bishop Grosseteste University College Boston University Bournemouth University British College of Osteopathic Medicine British School of Osteopathy Brunel University Buckinghamshire New University Camberwell College of Arts (University of the Arts London) Camborne School of Mines Canterbury Christ Church University Canterbury College Cardiff Metropolitan University Cardiff University Central Saint Martins College of Art and Design (University of the Arts London) Central School of Speech and Drama Chelsea College of Art and Design (University of the Arts London) City University Courtauld Institute of Art Coventry University Cranfield University Crichton University Campus De Montfort University Durham University Durham University (Queen's Campus, Stockton) Edge Hill University Edinburgh College of Art Edinburgh Napier University Falmouth University Glasgow Caledonian University Glasgow School of Art Glyndwr University (NEWI) Guildford College Harper Adams University College Henley Business School Heriot-Watt University Homerton College, Cambridge Hult International Business School Imperial College London Imperial College London at Wye Institute for System Level Integration Institute of Child Health Institute of Historical Research Institute of Neurology Irish School of Ecumenics, Trinity College Dublin Keele University Kingston University Lancaster University Leeds College of Music Leeds Metropolitan University Leeds Trinity University Liverpool Hope University Liverpool John Moores University London College of Fashion (University of the Arts London) London College of Management Studies London Metropolitan University London South Bank University Loughborough University Manchester Business School Manchester Metropolitan University Met Film School Middlesex University Moray House School of Education Newcastle University Newman University College Northern School of Contemporary Dance Northumbria University Norwich University of the Arts Nottingham Trent University Oxford Brookes University Queen's University Belfast Queen Margaret University Ravensbourne College of Design and Communication Richmond, The American International University in London Robert Gordon University Roehampton University Rose Bruford College Royal Academy of Music Royal Agricultural College Royal College of Nursing Royal Northern College of Music Royal Scottish Academy of Music and Drama Royal Welsh College of Music and Drama SAC (The Scottish Agricultural College) Schiller International University School of Pharmacy, University of London Sheffield Hallam University Southampton Solent University St.Mary's University College (Belfast) Staffordshire University St Mary's University College (Twickenham) Stranmillis University College Swansea University Teesside University The City Law School The College of Estate Management The Hull York Medical School The London College of Communication (University of the Arts London) The Open University The Royal College of Art The Royal College of Music The Royal Veterinary College The University of South Wales The University of South Wales - Newport Campus Trinity College of Music Trinity Laban University Campus Suffolk University College Birmingham University College for the Creative Arts at Canterbury, Epsom, Farnham, Maidstone and Rochester University College London (UCL) University College London (UCL) Eastman Dental Institute University College London (UCL) School of Slavonic and East European Studies University of Aberdeen University of Abertay Dundee University of Bath University of Bedfordshire University of Birmingham University of Bolton University of Bradford University of Brighton University of Bristol University of Buckingham University of Cambridge University of Central Lancashire University of Central Lancashire (Preston Campus) University of Chester University of Chichester University of Cumbria University of Delaware University of Derby University of Dundee University of East Anglia University of East London University of Edinburgh University of Essex University of Exeter University of Glasgow University of Gloucestershire University of Greenwich University of Hertfordshire University of Huddersfield University of Hull University of Hull (Scarborough Campus) University of Kent University of Law University of Leeds University of Leicester University of Lincoln University of Liverpool University of London University of London, London Business School University of London Birkbeck College University of London Goldsmiths College University of London Heythrop College University of London Institute of Cancer Research University of London Institute of Education University of London Institute of Psychiatry University of London King's College London University of London Queen Mary University of London Royal Holloway University of London School of Advanced Studies University of London School of Economics and Political Science University of London School of Hygiene and Tropical Medicine University of London School of Oriental and African Studies University of London St. George's Hospital Medical School University of Manchester University of Northampton University of Notre Dame University of Nottingham University of Oxford University of Plymouth University of Portsmouth University of Reading University of Salford University of Sheffield University of Southampton University of St Andrews University of Stirling University of St Mark & St John University of Strathclyde University of Sunderland University of Surrey University of Sussex University of the Arts London University of the Highlands and Islands University of the West of England (UWE Bristol) University of the West of Scotland University of Ulster University of Wales University of Wales Trinity Saint David - Carmarthen Campus University of Wales Trinity Saint David - Swansea Campus University of Warwick University of West London University of Westminster University of Winchester University of Wolverhampton University of Worcester University of York Warrington Collegiate Wiltshire College Wimbledon College of Art (University of the Arts London) Writtle College Other

What university are you attending/have attended? Australian Catholic University Australian National University Bond University Carnegie Mellon University Charles Darwin University Charles Sturt University CQ University Curtin University Deakin University Edith Cowen University Federation University of Australia Flinders University Griffith University James Cook University La Trobe University Macquarie University Monash University Murdoch University Queensland University of Technology RMIT University Southern Cross University Swinburne University of Technology Torrens University Australia University College London University of Adelaide University of Canberra University of Divinity University of Melbourne University of Newcastle University of New England University of New South Wales University of Notre Dame Australia University of Queensland University of South Australia University of Southern Queensland University of Sydney University of Tasmania University of Technology, Sydney University of the Sunshine Coast University of Western Sydney University of Wollongong Victoria University Other

What university are you attending/have attended? University of British Columbia University of Sudbury University of Toronto University of Victoria Other

What university are you attending/have attended? University of British Columbia University of Sudbury University of Toronto University of Victoria Other

Other University/College (if not listed above)

Major or degree

Graduation Year 2023 2024 2025 2026 2027 2028 2029 2030 Other

Year in School 1st Year 2nd Year 3rd Year 4th Year 5th Year

Are you interested in earning academic credit? Yes No Maybe

Did you attend a GIVE meeting/presentation? * YesNo

How did you hear about GIVE? * Social Media Online Search Through a past volunteer Through a friend I received a flyer I saw a poster I received an email In class Through a Professor or Faculty From my study abroad office Tabling/Campus Event Third Party Travel Website Other

Other way you heard about GIVE? *

Social Media Platform * TikTok Instagram (saw a friend's epic pics) Instagram (discovered @givevolunteers) Facebook Twitter Snapchat YouTube Pinterest Vimeo Tumblr LinkedIn Other

Recommended by (name, handle, group, etc.)

Why you would like to travel with GIVE? *

TikTok Handle

Instagram Handle

Facebook Handle

Do you need to fundraise? * YesNo

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