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ACJ-YMCA OF THE DOMINICAN REPUBLIC. INTERNATIONAL EXCHANGE PROGRAM, SUMIMER CAMP AND SUMMER WORK & TRAVEL. A Life changing Experience. PRE APPLICATION FORM 2022. FULLName____Reynaldo Miguel Catedral Gonzalez Date of birth,__19/12/1993, Place _! Dominicano, Nationality 1D Number (Cedula)___402-2361365-0, 06762688. Exp. Date. 20 de octubre_2023, ‘Telephone: Home cel. y29-437-497________sob. _—12terra94@gmail.com, Face book ‘Address: mariana viuda hall 138, Father Name.__Simon catedral castro. Gonzalo Mother.__Janet Altagracia College/ University name:__UTESA Education Career. ‘Administracion de Empresas Turisticas y Hoteleras. Years of your Career_5 years, vars, Current year of your career. Have you ever being in USA ?___yes___If yes, when ?_may2022__ De youha visa? _no__ an American What type of visa? 1. Did you had any visa denied __NO_When? Have you ever applied toa simi ‘Agency. Gloex rogram before 2__YES_Date_MAY2022_ Why you decided to apply with YMCA? __beacuse my friend eddy told me about this agency and | want tolive this experience making a summer camp, Where and when you worked abroad before?__in Delaware in may 2022. ‘Company?__dogfish head. for three months {for what period? Please name two members of your family able to confirm your information: 1+ ___natalia ismell de los Santos Gonzalez, Sister Relationship with you. Phone____ 809-303-0689. ” Mother ” 829-422- 0328, ‘Name two family members or friends to contact in USA in case of emergency. {if you have), 1 Relationship Phone: Address Logal Status - 2, Relationship __ Phone: Address Legal Status septen sence: Petree Cerkecbed

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