Global Sustainability Project Application
Application Deadline: Friday, October 18, 2019 at 3:00pm (No exceptions)
PART 2
Part 2 must be submitted electronically. Download this form and save it as a Microsoft Word document.  Complete the questions and email your application as a MS Word attachment to Ms. Dang-Wright, Dr. Golden and Mr. Nelson at DTDang@capousd.org, kengolden@cox.net, and vnelson@picernefoundation.org. 
 
Please respond to the questions that follow.
1.	Your name and school.
2.	List the extracurricular activities in which you participate. Include on and off campus activities, clubs, sports, and work.  Include any environmental or conservation volunteer experiences.  How much time do you spend with each activity per week?  Indicate leadership roles that you have in any of these activities. 
3.	Describe your travel experience. Include where and when you have traveled, as well as future travel plans.
4.	How has climate change affected the flora and fauna of the western Amazon region?  Refer specifically to the western Amazon. Limit your response to 700 words.
5.	Why is participating in the GSP, which includes the local sustainability project and the Amazon Riverboat expedition, particularly important to you?  Limit your response to 350 words.
6.	Provide the name and phone number(s) of three references that the Picerne Family Foundation may contact in order to evaluate your application. References can be a teacher, employer, club supervisor, volunteer contact, religious leader, or guidance counselor.  Do not include a reference from a relative, family member, or Ms. Dang-Wright.
7.	Submit a copy of your 9th and 10th grade high school transcripts with this application, including your non-weighted GPA and grades for the most recent semester completed. Please make sure the electronic file is in PDF format and easy to read.  Do not submit photos of your transcripts. You must have a minimum of a 3.0 grade point average to apply.