The application forms are available online in Adobe Acrobat "pdf" format. You MUST have the free Acrobat Reader installed on your computer to view these files. If you don't have have it already, click here to download the free Acrobat Reader.
required forms for all applicants (
additional parental consent forms for minors (pdf)
additional forms for medical professionals (pdf)
additional adult release for snorkeling or scuba diving (pdf
additional parental approval for snorkeling or scuba diving for minors (pdf)
For further information about the Winter 2009-10 Intercambio Service Learning Trip, contact any of the following individuals:
Rev. Jack
Diel
Intercambio Cultural Maya
United Campus Ministries
321 N. Seventh Street
Terre Haute, IN 47807-3001
(812) 232-0186
intercambio.maya@gmail.com
Mr. Paul
Hixson
McKinley Foundation
809 South Fifth Street
Champaign, IL 61820
(217) 344-0297 (McKinley)
(217) 244-2834 (work)
pch@uiuc.edu
Dr. Katie Leonhardy
Georgetown University
Assistant Professor,
Department of International Health
3700 Reservoir Road, NW
Washington, DC 20057-1107
202-687-4269
kal36@georgetown.edu
Dr. Taihung Duong
Asst. Dean/Director Indiana University
School of Medicine - Terre Haute
812-237-2777
Ms. Samira Hussney
Case Western Reserve University
International Health Programs
10900 Euclid Ave.
Cleveland, OH 44106-4904
216-368-5356
sxh70@po.cwru.edu
Earn course credit by participating in Intercambio Cultural Maya. Contact:
Indiana State University
Office for Study Abroad,
Stalker Hall 122,
Terre Haute, IN 47809
812-237-3427