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- Birthdate*
- Are you a U.S. citizen?*
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- Type of School:*
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- Do you or your parent (if you are a dependent) currently work for or have recently ended (less than 1 year ago) employment with the U.S. Department of State or USAID?*
- Do you or your parent (if you are a dependent) work for AFS, American Councils, ASSE, CIEE, Cultural Vistas, Nacel Open Door, or YFU?*
- Have you previously applied to CBYX for Young Professionals?*
- Have you ever been awarded a Congress-Bundestag scholarship (at the high school, post-high school, vocational, or young professional level)?:*
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- Have you participated in any of the following Department of State ECA Youth Programs? (check all that apply)*
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- Cultural Vistas may share my information about interest in the CBYX program with faculty or staff of the educational institution I listed above.*
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- Should be Empty: