Step 1 of 4 25% CompanyThis field is for validation purposes and should be left unchanged.This form has a “save and continue” feature so that you can begin the form, save it and continue work later on. To enable, scroll to the bottom of the page and click “save and continue”. You will receive an email with a link. It is very important to save that link so you can come back into the form and continue completing the application. Student InformationName(Required) First Middle Last NicknameBirth Date(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email(Required)DO NOT use your school email address. Enter Email Confirm Email Permanent Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone(Required)Home PhoneRecognized Gender(Required)Instagram HandleTikTok Handle Tell us more about you…High School Currently Attending(Required)First Day of School for the 2027/2028 School Year Do you speak a foreign language?(Required) Yes No Foreign Languages Spoken(Required)Click the + to add additional languages. LanguageProficiency (e.g., Novice, Intermediate, Fluent, Native) Add RemoveWhat is the primary language spoken in your home?(Required)Country of Birth(Required)Country of Citizenship(Required)List of School/Church/Community activities in which you participate:(Required)ActivityWeekly Time CommitmentTotal Participation Length Add RemoveTell us about your hobbies and interests.(Required)Work Experience(Required)What are your current plans for the summer?(Required)Do you have any upcoming events that may conflict with the summer program?Please list event names and their dates.Event NameEvent Date Add RemoveWhat are your Career and Education plans for the future?(Required) Parent/Guardian InformationParent/Guardian's Full Name(Required) First Middle Last Parent/Guardian's Birth Date Spouse's Name First Last Parent/Guardian's Email Address(Required) Enter Email Confirm Email Permanent Address (If Different From Applicant) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÃ…land IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Country of Birth(Required)Country of Citizenship(Required)Home PhoneCell Phone(Required)Parent/Guardian Occupation(Required)Is there a 2nd Parent/Guardian that should be listed on this application? Yes No 2nd Parent/Guardian Information2nd Parent/Guardian's Full Name(Required) First Middle Last 2nd Parent/Guardian Birth Date 2nd Parent/Guardian's Email Address(Required) Enter Email Confirm Email 2nd Parent/Guardian Spouse's Name First Last Permanent Address (If Different From Applicant) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÃ…land IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Country of Birth(Required)Country of Citizenship(Required)Home PhoneCell Phone(Required)Occupation(Required)Family and TravelDo you have any siblings?(Required) Yes No Sibling(s)(Required)NameAgeGender Add RemoveHave you traveled abroad?(Required) Yes No Trips(Required)LocationApproximate DatesWho did you travel with? Add RemoveHave any of your siblings participated in a foreign exchange program?(Required) Yes No Which siblings?(Required)NameWhereAppr. DatesSponsor Organization Add RemoveHave you or your family ever hosted an exchange student?(Required) Yes No Exchange Program Details(Required)CountryDates of stay Add RemoveHow did you hear about the Gilbert Sister Cities program?(Required) School/Classroom Visit Poster Referred by current or past Youth Ambassador Newspaper Social Media Other EssayDescribe Gilbert Sister Cities in your own words, including the history and mission statement.(Required)Please limit your answer to 500 words or less.What are 3 things that Gilbert has in common with each of its Sister Cities?(Required)Please limit your answer to 500 words or less.Describe an experience that gave you a new perspective. What did you learn and how did it affect you?(Required)Please limit your answer to 500 words or less.Parent/Guardian InputTo be filled out by either parent or guardian.Parent/Guardian Name(Required) First Last How is your child's health?(Required)Does your child have any allergies that we need to know about?(Required) No Yes What allergies does your child have?(Required)Please list the allergy and what precautions need to be taken.Allergy NamePrecautions/Medications Add RemoveDoes your child currently take any medications that we need to be aware of?(Required) No Yes What medications is your child currently taking?Please list the medication and its purpose.MedicationPurpose Add RemoveWhy would a foreign student enjoy spending time in your home with your family and your child?(Required)Please limit your answer to 500 words or less.What two things would most challenge your child on an overseas trip? How will you prepare them?(Required)Please limit your answer to 500 words or less.Are you comfortable with a student of the opposite gender of your child being matched with your family? How would you accommodate them?(Required)Please limit your answer to 500 words or less.Student Headshot(Required)While a professional headshot is not required, please do not use selfies. We will be using these photos in our press releases and social media platforms.Max. file size: 2 GB. Signature of Applicant(Required) I understand that I am expected to live in Gilbert or attend a Gilbert or Higley high school. I understand that a passport and/or visa will be needed for travel and if selected, I will apply for and show proof of passport/visa (if needed) by the deadline set by Gilbert Sister Cities Coordinator. I grant permission to Gilbert Sister Cities to use photographs and video of me in social media, online, promotional materials, publications, presentations, news releases and other communications. I understand the use of AI to fill out any responses in the application is prohibited and could result in being disqualified to continue as a candidate in the program. Your NameYour NameYour NameYour NameSignature of Parent or Guardian(Required) My child has my permission to apply for and participate in the Gilbert Sister Cities Youth Ambassador Program. I further understand that if my child is selected, it is mandatory that my family joins the Gilbert Sister Cities membership and participates in related events throughout the year. I grant permission to Gilbert Sister Cities to use photographs and video of my child in social media, online, promotional materials, publications, presentations, news releases and other communications. Should my student be selected as a Youth Ambassador, I agree that I am willing to submit to a background check. Your NameYour NameYour NameYour NamePlease verify that all information is accurate prior to submission. By submitting this form, you agree to pay a $25 participation fee once a student has attended applicant orientation and agrees to participate in the program. Δ
