Congress-Bundestag Youth Exchange for Young Professionals

Request the CBYX Re-Application per Mail

Please only fill out this form if you have not already downloaded, or do not plan to download, the downloadable application. Applications will be available in late August and will be mailed out once a week.

Please take a moment to fill out the following form (starred fields are required).

*First Name:
*Last Name:
*Address:
 
*City:
*State:
*Zip Code:
*Telephone:
Fax:
*E-mail:
*High School, College, or University:
*Birthdate:

*Education Level:
Will graduate high school in 2008
First year college
Second year college
Third year college
Will graduate college in 2007-2008
Graduate school

College Major or Vocational High School Concentration:

*Choose the field closest to your career goal

*How did you learn of the program?

Other (specify):

 
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