Application Form

Get ready for the experience of a lifetime. We’re excited to
change the world with you! Click on one of the tabs below to begin your application or print a participant application (autofillable, printable PDF).

Students Educators Adult/Family

I am/My daughter or son is enthusiastic about participating in this course. We understand that an enjoyable and fulfilling experience with EPI depends on my positive attitude, on my willingness to contribute to the whole group and on my willingness to participate enthusiastically in the program activities.

We understand that disruptive behavior, my use or possession of any form of tobacco, any alcoholic product or any illegal drug will result in my immediate return home, at my own expense and without refund. We have read, understand and agree to abide by the application guidelines, payment schedule, late fees, and cancellation policy. I also give EPI permission to use my name, address and picture in promotional materials and press releases.

Agree to terms and conditions
Student's Information

Full Name Preferred Name

Address

Email

School Current Grade

Phone (Home) Phone (Cell)

Birth Date Citizen of

Sex

How did you hear about EPI?

Have you participated in an EPI course before?

Course Course Date

T-Shirt Size

Parent / Guardian Same address as student?

Name

Address

Email

Phone (Home) Phone (Cell)

Occupation

Employer Job Title

Parent / Guardian Same address as student?

Name

Address

Email

Phone (Home) Phone (Cell)

Occupation

Employer Job Title

Course Registration Indicate your course location and start date

First Choice Date

Second Choice Date

Questions

Please explain why you would like to participate in this Ecology Project International course:

Please indicate your previous travel and camping experience, including the conditions:

What has been your greatest success in the last six months?

Identify an activity to which you have made a major commitment. Describe how you demonstrated that commitment:

Hometown Newspaper

Name

Address

Conservation for the next generation A nonprofit organization

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