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 2011-12 Intercambio Service Learning Trip, contact any of the following individuals:
Jan Buffington
Intercambio Cultural Maya
(temporary Terre Haute office)
c/o United Campus Ministries
321 N. Seventh Street
Terre Haute, IN 47807-3001
(812) 232-0186
intercambio.maya@gmail.com
Mr. Paul
Hixson or Rev. Heidi Weatherford
McKinley Memorial Presbyterian Church
809 South Fifth Street
Champaign, IL 61820
(217) 344-0297 (McKinley)
(217) 377-0559 (Paul's cell)
paulhixson@me.com
evdiva00@gmail.com
Dr. Taihung Duong
Indiana University School of Medicine - Terre Haute
812-237-2777
tduong@iupui.edu
Ms. Samira Hussney
Case Western Reserve University
International Health Programs
10900 Euclid Ave.
Cleveland, OH 44106-4904
216-368-5356
sxh70@po.cwru.edu