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Summer Service Program Application

Remember you can change your program after you apply as long as spaces remain available. Also keep in mind VISIONS “no sweat policy,” with full refunds available until January 15th in case your summer plans change. Read more about the application process here, call or text us at 406-551-4423 or reply to this email with any questions.

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Family Information

We want to make sure that VISIONS is the best fit for you and your family!

Students are required to come to VISIONS with a willing and eager attitude, be inclusive, try new things, and have a lot of fun. VISIONS is not in any way a program for teens with emotional or behavioral problems.

Students must be able to self-regulate, maintain self-care, and function independently.

I am...

Financial Aid

VISIONS is committed to making life-changing opportunities possible for students worldwide. Families who apply for financial aid must submit the following items:

1. A cover letter from the family that:

Explains your financial need
Identifies the top three choices of programs to attend and any date / schedule restrictions
Specifies the dollar amount being requested

2. 400 to 500-word essay written by the participant that:

Explains what the opportunity to attend a VISIONS program would mean to you
Identifies your goals for attending the program
Outlines your fundraising plans

3. Family must submit two most recent tax returns (for financial aid requests of more than $500).

Please note that applications are not reviewed until everything is completed.

To read more about our financial aid policies and fundraising ideas, click here.

Are you requesting more than $500?

Upload Cover Letter

Upload Participant Essay

Upload 1st Tax Document

Upload 2nd Tax Document

Scholarship Referral

Please indicate the scholarship organization that referred you to VISIONS

Select your preferred program.

How did you hear about VISIONS?

Please tell us more about your selection above:

What kind of referral?

What is the name of the person/organization that referred you?

Contact Details

It’s important that correct email addresses and phone numbers are entered for each person. These will not only be used for follow up on the application, but they are also used during the VISIONS program and travel days. *** Please note: The applicant's email address MUST be their own and different than the Primary Parent/Guardian.

Participant Information

Name (as it appears on participant's passport or official I.D.)

First Name

Middle

Last

Preferred Name/Nickname (optional)

Participant Email (note this MUST be the participant's email and NOT parent/guardian! Applications that list the primary parent/ guardian's email address will not be accepted)

Phone

Used to contact participant on travel days, if necessary

Mailing Address

Country

Street Address

City

State

State/Province

Zip/Postal Code

Gender

Birthdate

T-Shirt Size (adult sizes)

Passport Origin (or country of citizenship)

Is participant traveling internationally to the program location?

YesNo

Does participant have a passport that is valid for at least 6 months beyond the planned return date? (NOTE: If you do not have a passport available right now, skip this step (mark no) and provide passport details as soon as possible.)

YesNo.

Passport Details

Passport Number

Passport Expiration Date

Please upload an image of the two page spread of the passport if it will be used to travel to the program for which you are applying.

Foreign Language Experience

Must answer if attending a language immersion program.

Participant's School

Graduation year (high school)

Country

School Name

City

State

State/Province

Primary Parent/Guardian Information

Consider carefully. This adult will be the primary person to complete documents that require an electronic signature. The second parent or guardian will be included in general email correspondence, but the primary parent/guardian will need to sign the required forms.

First Name

Last Name

Relationship to Participant

Phone

Check the box if there is not a second parent/guardian to include

Second Parent/Guardian Information

First Name

Last Name

Relationship to Participant

Relationship to Primary Parent/Guardian

Phone

Check the box if second parent/guardian has the same address as participant/primary parent

Address

Country

Street Address

City

State

State/Province

Zip/Postal Code

Helper fields (hidden section)

This section is not visible, but is used to control some aspects of the form

Season Year

Used to find the correct program in Salesforce and to name paperwork records

Start of season date

Used to validate passport expiry date

References

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*Alumni and scholarship referral applicants are not required to provide references. You can click "Next Page" to proceed.

Please provide contact information for two references. We will contact your two references and have them complete a five-minute questionnaire. Please verify the email address for each reference. Entering an incorrect email will delay your application process.

By submitting this form, you authorize VISIONS to contact the references listed below with the intention of discussing character, behavior, and other topics that may help determine the participant's suitability for the program.

School Reference

Teacher, guidance counselor, or other school personnel

Reference Name

Phone Number

What is the participant's relationship to this reference?

Other Reference

A second school reference or any adult who knows the participant well (no family members).

Reference Name

Phone Number

What is the participant's relationship to this reference?

Participant Questionnaire

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The below questionnaire must be answered by the participant (not the parent). If you are a parent completing this application, you may use the checkbox below to skip this section. Once the rest of the application has been submitted to VISIONS, an email will be sent to the participant with a link to the questionnaire. Please note that the participant will not receive the email until the rest of the application has been submitted.

I'm a parent filling this out for my child—please email them this section after I submit the remainder of the application.

Questionnaire

What made you choose a VISIONS program?

What do you hope to gain from your experience?

VISIONS programs can be challenging in terms of projects, group living, and being in a new place. What is something you might need to challenge yourself with this summer?

Are there any physical or emotional concerns you have for yourself about participating in a program like VISIONS?

What is something you feel you’d add to the group experience?

Do you know anyone else applying for this same program? If so, who?

Is there anything else you think we should know about you, or anything you would like to share at this time?

Participant Enrollment Contract

I understand VISIONS mission and that I will be asked to put the group’s needs ahead of my own. I understand that by participating, I am an ambassador for VISIONS and will seek to build friendships, uphold an ethic of service and goodwill. I understand that VISIONS has zero tolerance rules regarding alcohol and drugs, and intimate relationships, and that choosing to break such a rule will result in dismissal from the program and forfeiting service credits. I understand that safe, considerate conduct and respect for program policies are essential. I also know that I will be living and working in the public eye, and appropriate behavior, language, and clothing are necessary. I agree to assume responsibility for my conduct, to participate with a positive attitude and to do my part to create a productive experience.

Initials

I have read and agree to the Participant Enrollment Contract

Agree

Application Fee

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Please note that the $75 application fee is NON-REFUNDABLE for any reason.

Application fee not required for you. (If you are an alumni or requesting a scholarship, you do not need to pay the $75 application fee). Please press "Submit" to submit your application.

Payment Information

Amount due

Name on Card

Billing Email

Card Number

Code

Coupon Code:

Payment helper section (not visible)

*this section is not currently in use, but preserved in order to allow VISIONS to use discount codes to waive the application fee in the future*

Waive Payment - when checked (automatically) will remove payment details

Waive Fee

Discount Percent

Application Fee

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Contact Information

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