JASAC Student Application
Summer 2009  

The following form is to be printed and completed by students in California.
There is a $40.00 non-refundable application fee.
Please send money order or cashiers check only.
Student's Full Name:
Student's Email:
Parents' Name(s):
Parents' Email:
Home Address:  

Parents' Home Phone:
Parents' Cell Phone:


Student's Current Age:
Student's Date of Birth:
Student's Gender:
Student's School:
Student's Grade in Fall 2008:

Please attach your responses to the following questions on a separate sheet.

1. Tell us about your favorite activities and what do you enjoy about them.

2. Would you be willing to start corresponding with a student in Jamaica?

3. Where have you traveled to before, and what did you enjoy most about your trip?

4. Why do you want to go on this trip?

5. Do you attend church regularly if so, state name and location?

6. Are you willing to do community service work and group fundraisers to go on this trip?

Please provide 2 letters of recommendations, one from a teacher or school , and the other from a community person like your minister, family friend, or coach.

Provide a copy of your last report card, progress report, or most current transcripts.

Mail Application and fee to:
JASAC,
P.O. Box 292322
Sacramento, CA 95829



Now taking late applications


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