Name

Address:

City

State

Zip

Telephone

E-mail Address

Soc. Security #

Home College

City

State

Zip

Year in College (example:  Sophomore, Jr., Sr., etc.)

Overall GPA

Degree Program

Major

Valid Passport No. 

(must be valid for at least 6 months after departure date)

Final deposit by   May 15, 2008

All deposits/payments must be made through: Sankofa World  Tours

Mail to:  P.O. Box 473592, Brooklyn, New York 11247

Ph:  (718) 756-8904

NOTE:  PLEASE RETURN THIS APPLICATION TO THE ADDRESS BELOW:

Note:    Tuition for course is paid at your home college.  Registration is done at your college.

Emergency Contact Person:

Name

Address

City

State

Zip

Telephone

Relationship