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 parental approval for snorkeling or scuba diving for minors (pdf)
additional adult release for snorkeling or scuba diving (pdf)
additional forms for medical professionals (pdf)
additional approval form for alternate travel arrangements (pdf)
additional parental approval form for alternate travel arrangements (pdf)
For further information about the Summer 2008 Intercambio Service Learning Trip to Cozumel, contact any of the following individuals:
Rev. Jack Diel
Intercambio Cultural de Yucatan
United Campus Ministries
321 North Seventh Street
Terre Haute, IN 47807-3001
(812) 232-0186
mail@intercambio-maya.org
Mr. Paul Hixson
McKinley Foundation
809 South Fifth Street
Champaign, IL 61820
(217) 344-0297 or
(217) 244-2834
pch@uiuc.edu
Mr. Greg Barbu
Westminster Presbyterian Church
254 Imgard Street
Wooster, OH 44691
(216) 345-7112
gbarbu@MicroGuideInc.com
Ms. Doreen Sterba DeZur
First Presbyterian Church
150 South Ashland Avenue
LaGrange, IL 60525
(708) 354-0771
DeZurD@sbcglobal.net
Rev. Jim Hartley
Flossmoor Community Church
2218 Hutchison Road
Flossmoor, IL 60422-1325
(708) 798-2800 ext. 18
jhartley@fccfaithful.org
Mr. Mike Neville
Faith United Church of Christ
1105 DeForest Street
Iowa City, IA 52240
(319) 337-9339
michael-neville@uiowa.edu
Rev. Lisa Taylor-Jimenez
PO Box 782
Neoga, IL 62447
(217) 895-2504
lmtayl@gmail.com