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YOUTH APPLICATION
Mexico Spring Break Expedition

Checklist for Application: 17 Years and Younger

Application is submitted online, all other materials can be emailed to info@rocwheels.org or mailed to ROC Wheels, Attn: Youth ROC, PO Box 11765, Bozeman, MT 59719

Required Items, Due Nov 1st:

  • Youth Application Form-See Below (returning team members may list Lee Hanson or Kimberly Hartman as mentor reference)

  • Essay or resume (not required for returning team members)

    • Please include the following information in your essay or resume:

      • Name and age

      • Your strengths and weaknesses

      • Work experience

      • Volunteer and extracurricular activities

      • Volunteer history with ROC Wheels

      • Your reasons for applying to be a ROC Youth Volunteer

      • What you hope to offer the ROC Team and the children affected by disabilities and their families (ex. your talents/gifts/traits/etc.)

  • Pastor or Employer Letter of Recommendation (not required for returning team members)

    • Please inform the professional writing the recommendation that they are writing a letter of recommendation for the purpose of applying for the ROC Wheels Mexico Spring Break Expedition. Provide them ROC Wheels email address or mailing address so that the letters can be sent directly to ROC Wheels.

  • Teacher or Academic Mentor Letter of Recommendation (not required for returning team members)

    • Please inform the professional writing the recommendation that they are writing a letter of recommendation for the purpose of applying for the ROC Wheels Mexico Spring Break Expedition. Provide them ROC Wheels email address or mailing address so that the letters can be sent directly to ROC Wheels.

**Applicants will be notified of their acceptance by November 5th and are required to attend the first team meeting. Applicants will be notified of date, time, and location upon acceptance **

Trip Fees: All checks should be made out to ROC Wheels Inc.

  • $500 Deposit Due by Dec 1st

  • Balance of Funds ($800.00) due by March 1st

Other Requirements After Application Approval, Due Feb. 1st:

  • Obtain Passport - Note: If you don't have a passport, you should apply for one no later than December 1st.

  • Fill out the Personal Covenant and Liability Release Form by clicking Here

  • Fill out the Parental Consent Form by clicking Here - needs to be notorized

  • Obtain Vaccinations- Contact the County Health nurse for current vaccination requirements (Page link Here)


If you are 18 years or older, do NOT fill out this application! Please fill out the Adult Application

Youth Volunteer Application Form

In addition to filling out this form, you will need to also send in the required information outline above (ie. Essay, Letter of Recommendation). If you have any questions regarding the form please email us at info@rocwheels.org.

Personal Information
Date of Application
Date of Application
Name *
Name
Please include your full legal name as it appears on your passport
Parent's Names *
Parent's Names
Ie. John and Judy Smith
Parent's Phone *
Parent's Phone
Home Address *
Home Address
Personal Phone *
Personal Phone
Best Method of Contact *
Please provide your passport number or if you do not currently have one, enter the number 0. Keep in mind that you should apply for a passport by December 5th.
Date of Birth *
Date of Birth
Gender *
Medical Information
Emergency Contact
Name of Emergency Contact *
Name of Emergency Contact
Phone of Emergency Contact *
Phone of Emergency Contact
References
Please give the following information for the individual that will be writing your letters of recommendation. For more information, see above.
Name of Teacher or Academic Mentor *
Name of Teacher or Academic Mentor
Address of Church, Employer or School *
Address of Church, Employer or School
Phone Number for Pastor, Employer or Academic Advisor *
Phone Number for Pastor, Employer or Academic Advisor
Signature
Electronic Signature *
Electronic Signature
By confirming your name here, you are confirming that the above information is correct to the best of your knowledge. Any changes to the information above should be notified to ROC Wheels Inc.
Today's Date *
Today's Date