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Chicago North Chapter |
Checklist for Application Documents |
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Welcome to Amigos de las Americas - Chicago North Chapter
2007-2008 Application Guidelines
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The following items must be brought by you and your parent(s) to the interview:
(Click on each item in red below to obtain a downloadable version of the blank document).
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Volunteer Data Sheet & Personal History Form – pages 3-6. Answer completely and thoughtfully. Sign. Letter of Reference Form – Pages 7-8 should be detached and given to your reference. Write your name on the form and include an envelope. Bring sealed envelope with your signature on sealing to the interview. Consent and Release Agreement – page 9-11, must be read/initialed and signed by applicant and both parents/guardian. Medical Release Form -- page 12, must be read, and, if volunteer will be 18 in Latin America and agrees to these terms, must be signed by applicant Standards of Personal Conduct and Community Behavior – pages 14-15, must be signed by applicant (parents must also sign if applicant is under 21). Letter of Medical Disclosure -- page 16, must be signed by applicant and parents/guardian. Confidential Health Form I – pages 17-18, must be completed and signed by applicant and parents/guardian. Confidential Health Form II – pages 19-24, must be completed and signed by physician/clinician. COMPLETE with dates for shots and boosters. Plan for appointment to review immunizations. Financial Assistance – pages 25-26 (optional). In order to be eligible for full scholarship, may be turned in with application, or (for greater privacy) may be detached, and submitted by mail no later than November 18th to:
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Amigos de Las Americas |
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Chicago-North Chapter ATTN: Scholarship Committee |
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P.O. Box 367 Winnetka, Illinois 60093 |
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COMPLETED APPLICATIONS ARE DUE AT INTERVIEW |
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Before you close your application, please review each item specified above to make sure each page is properly signed, dated, initialed, etc. as required. Thank You. |
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Questions? Contact Pam Kaul (847) 328-1114 |
Note your Interview Date & Time: Sundays: October 28th ___ or November 4th___ or November 18th at _________(time)
Interview Location: North Shore Country Day School, 310 Green Bay Road, Winnetka, IL 60093
For changes to this webpage contact: webmaster@amigoschicago.org