Snorri West Program Application Form

1
Name* This field is required.Please enter your full name as it appears on your passport / identification.
First Name
Middle Name
Last Name
2
What name do you prefer to be called?Here you can let us know if you prefer to be called by a name other than your first name, ie: a nickname, and alternative name.
3
Date of Birth* This field is required.
Date
Day
Month
Year
4
Gender* This field is required.
Female
Male
Other
5
What are your preferred pronouns?
6
Email* This field is required.Please enter the email you use the most. (Avoid using temporary school or work emails).
example@example.com
7
Current Address* This field is required.Please fill in the address of where you currently live. If your address changes before the program begins, please notify us immediately by email.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Iceland
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
8
Mailing AddressPlease fill in the address of where you receive mail, IF different from your current address.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Iceland
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
9
Phone Number* This field is required.Please enter the number we can reach you at with important information.
Country Code
Area Code
Phone Number
10
Alternate Phone Number If you have a work number or alternate number you'd like to use, please enter it below along with any instructions regarding an extension, or leave a message, etc.
Please include the country code as well!
11
Facebook or Instagram HandleWe connect participants to a private Facebook Group once they are selected. We also share photos across both Social Media feeds. If you do not use FB or IG, please say so.
12
School 1* This field is required.
School Name
School Address
Program of study
Number of years attended
Level/degree completed
Year of graduation (if applicable)
13
Please list any additional schools you've attended, following the same format as above.Please include: school name, location (city, state/province, country), program of study, years attended, level/degree completed, and graduation year (if applicable).
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14
Job 1
Employer
Position
Start date
End date
Brief description of duties.
15
Job 2
Employer
Position
Start date
End date
Brief description of duties.
16
Job 3
Employer
Position
Start date
End date
Brief description of duties.
17
If you have additional work experience you wish to include, type it here, following the same format as previous questions.Please include: Employer, position, start and end dates, and a brief description of duties.
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18
Please list up to 4 extracurricular activities you've been involved in. For each activity, list the name of the organization or group, give a brief description of your role, and how long you were/are involved.* This field is required.Examples may include: sports, music, school activities/clubs, volunteer positions, community or church involvement, etc.
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19
What are your hobbies and interests? Please list between 2 and 5 examples.* This field is required.
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20
What is/are your native language(s)?* This field is required.
21
Please rate your proficiency in English* This field is required.
beginner
intermediate
advanced
22
Do you speak any other languages?* This field is required.
YESNO
23
Please list the languages you speak and rate your fluency: 1. beginner, 2. intermediate, 3. advanced
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24
Please summarize your goals for the future, both educational and personal, and outline some of the steps you plan to take to achieve them.* This field is required.About 120 words.
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25
Briefly describe your expectations for visiting North America and what you hope to gain from participating in the Snorri West Program.* This field is required.100-300 words
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26
How did you find out about the Snorri West program?Check all that apply.
Snorri Programs social media
Other social media
Friend or family member who's participated
Friend or family member (but not a former participant)
Snorri Programs website
Web search
Other (please explain below)
27
If you answered "other" to the last question, please specify here how you found out about Snorri West.
28
Have you ever been to North America?* This field is required.
YESNO
29
Where did you go and when?
30
Why should you be selected as a member of this year’s Snorri West group?* This field is required.
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31
I hereby confirm that I have filled out this application as completely and precisely as possible. I give my consent for the Snorri Foundation to use the personal information provided herein to research my genealogy and to provide to my host family/other relatives and contacts associated with my volunteer/work placement, should I be accepted to the program.* This field is required.Please sign your name in the box below. If you are on a laptop, use the track pad, if you have a touch screen you can sign with your finger or a stylus.
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