Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Home/Permanent PhoneCell PhoneEmail Do you speak English?* No Minimally Some high school Some college Conversational Fluently Native speaker Do you speak Spanish?* No Minimally Some high school Some college Conversational Fluently Native speaker Do you speak Aymara?* No Minimally Some high school Some college Conversational Fluently Native speaker Do you speak Aymara?* No Minimally Some high school Some college Conversational Fluently Native speaker Do you speak Quechua?* No Minimally Some high school Some college Conversational Fluently Native speaker How would you describe your Spanish, English, Aymara and/or Quechua speaking skills?Have you worked with any of our partner organizations such as EWB or B2P? If so, please provide the name of the organization and chapter you served with.Have you traveled or worked outside of your country before, either professionally or as a volunteer?YesNoWhat countries and with what organizations?What was your role in the trip?List countries you have visited outside the U.S for non-engineering purposes For tourism, study, military, family, etc.Please check the boxes for which the answer is true Do you have a current passport valid for at least one year? Do you have any issues working at high altitude? (Check if yes) Do you have any issues performing manual labor in the construction of projects? Do you have a sponsor who may provide funding? Are you willing to raise funds for your expenses during the internship? Do you have any construction experience? Do you have any AutoCAD experience? Can you live and work in a chaotic large city? Can you work in an isolated rural village? Can you drive a manual transmission vehicle? Please check only those boxes where the answer is "Yes".What date would you be available to begin as an intern?* What date would you need to return home?* Please upload your resume here:*Please upload your cover letter here:*What is your motivation to intern with Engineers in Action?