Michigan 4-H Outbound International Travel Scholarship Application Deadline to apply: February 1 SECTION 1Name*Gender*MaleFemaleCounty of 4-H membership*4-H Club or Group*Address* Mailing Address City State / Province / Region ZIP / Postal Code Home Phone NoCellEmail* Age*Date of Birth* Date Format: MM slash DD slash YYYY *Current Grade in SchoolSchool AttendingHost Country*Select the country to which you are traveling:IFYECosta RicaJapan 8-week programJapan 4-week programFinland/NorwayBelizePolandSouth KoreaSECTION 21. Why do you want to travel to the country you have selected for your summer exchange experience?*2. Exchange programs are part of the 4-H Leadership and Civic Engagement programs. Please explain how you have been involved in leadership, citizenship and/or global and cultural education activities in 4-H, school, your community, or other ways.*3. If you were asked to develop a photo story or video about the community/town/city where you live, please list 15 different things you would include in your presentation.*4. What cultural project will you share with your host family and hosting organization? The cultural project should focus on an aspect of American culture that is important to you. Example: bake or cook an American dish or treat, demonstrate a skill, teach a game or song or make a craft.*SECTION 3* I understand that if I am awarded a scholarship I will complete all the requirements stated, by the deadline given. Any participant that fails to fulfill the requirements in this contract will be responsible for repaying the entire scholarship amount. Note: All travel scholarship award applications must be submitted by February 1.