\< HI. \Uh uim-nlalmii mil l "j»* • i!i« v rl i" ,*m « ,n h pin gram vkilhilt om* s«nu st« i of I ho jm iu«J of «tinl\ •!< nutml on fin juiml • nIimIi-ii! slain* whs* li yon Mthmii I Two I I 1 \ J |»hofo> f|».l>A|H»iI M/r) -* I tf 11* «I nil Im< k (of ulrullJn.tt lull siihmil Iwo for i .ii li jtm^i.iin l rilr - nm|.|rli »i \\ t*y ^ \jn .»,ui Hrl. irin i | unit a n fririu • J* i!* r from ,i * oil* or invlnii lot or n « rut • mploM r. or vi i ifirii oil* i of • tnplov m*nl lr**m .i juosjM * h\r ' in|i|o\. i * I’root of Inugti.iv* aluhlv «Kiami ami laisla III* ,i otih) I'liolm njo nl an offu ial roiir>< han>* rifil uml* i I to i lit! laiik'na^* * mu s* ' throiik'h llw inli i no ili.tl* lr\« I j.i! h aM |v*o \i*ais) or .hi ollii ial lHl« f fioin vom iw»*l in •*tii laiik'uak'r infirm lor ,Hit slink* l*» vnm "kills. m a 1**11■*I IlMfll a i oil* ur* JHMlt ssni ifrsj i ilmitr '“in abilil' il ,ti ({till *'• I “III M«l» “f M ll““l l..iiikrti au»- alnhh i• *jiim nmnls hi.in Im* v%a*'♦**I “hi' il .1 u fillrii nff**r “f < III||||I' IIM Ml IS tilt IihIimI H till I ll** . i j * I»11 • ti i i “ 11 \ "|mm ial Ian truav'l- t« I* M-lirr I* * I 111 I' I * ljU u • «l i 11 I "ill '‘• ini Ihl" 1“ all \\ “I k III * M i man' aj*|»!n an! - m < .ill in -j* l “im ) • ri.H.l n| a>l» (jnalr mn.||> al iMHiihim « < * *»■ i mail' < amnia ainll .u*fa Hit a “iil'l \ roji\ of mum Inl« i na!nmal Mini* ii! i«t< nil!' < ti*1 »lin h |Mn\ui'^ niMiiam » Imt • fill“i v*« Imti) m a j*hnlj»« < iln all' "lain" dial il ' » n\.aak't “iiNnlt Ihi • niihm nlal I s < * 11 if!*■« j < hfi k >n m*m«' ni *l* r jia«a 1*1*- !“ * 11 f !**i " I .* » Illnrh (ibrn.til Iimrt.iliU* Britain Ireland France Germany Any time of the year for up to 6 months Any time of the year for up to 4 months Any time of the year for up to 3 months From May 15 to October 15 for up to 3 months New Zealand From April 1 to October 31 Costa Rica Canada Jamaica From June 1 to October 1 From Mdy 1 to October 31 From December 15 to April 1 or From June 1 to October 1 Work Abroad College University Declaration U.V'\r 1 Ap;*- *-•' H-V'-r >f V H , I hereby certify that the appN ant ■ i time •» the above*named institution during !l■< 1992-93 year and is pursuing lOursework leading ' i di| ■” •< a degree Re*r\lf<»t *■ S Ddlr v.■ ■■ S«m. I hereby certify that the applicant .s a t. <• ,!..dt • 1 t the above named institution during 11' 1993 -94 •. year and is pursuing course-work leading to a : ; - • or ■ degree Re^tvlrdf s Signature Da!r > Work Abroad Reference To be completed by former employer or current o instructor or counselor N.r'>r . .1 .lj‘|>..'i '■ I i • 'V Applicant is applying tor Work Abr ' id ' Britain Canada Costa Rica fun • Germany Ireland Jamaica New Ze ■ t H ' ,Vf you known the applicant7 And n what t apacrty7 Please evaluate the applicant as to EicHW-nt Good Fad Pcxw At). to t;et a Ions with others Abd' , to accept supervision At) My to adapt to new situations Street 1 "f State Zip Si*rutu*e ~ Date Please complete both sides Return application to CIEE Work Abroad 20b East 42nd Street New York NY 10017 'v " ' i'■ must be submitted together ■ ' ' rkALiro id at (212) 661-1414. ext 1130