UNIVERSITY OF CALIFORNIA, BERKELEY

STUDENT APPLICATION Address:_____________________________

Name: ____________________________ Telephone#: __________________________

Student ID#: ______________________ Age: ________________________________

Email: ___________________________ Major: _____________________________

This application is for the January 11-17, 2009 Water Brigade.

1) What is your Spanish speaking level?

Fluent Some Little None

2) Will you be able to meet the four mandatory meetings on 11/5, 11/19, 12/3,
12/11?

3) Please list an emergency contact (Name, Relation, Phone, Address, Email):

4) Will you be able to make a $150 airline deposit by October 27?

Please answer all of the following questions in a total of 600 words or less.

5) Do you have any volunteer experience or participate in other extracurricular

activities?

6) What is your interest in joining Global Water Brigades?

7) What personal qualities do you think you can contribute to the project?

8) What do you expect to gain from your participation in GWB?

9) Do you have any career interests related to water or international development?

Please turn this application form in by Saturday, October 24 at 3:00 PM to

haejin@globalbrigades.org.

We look forward to having you on our brigade!