You Are the Change Application

Join the Mission

Coastal Costa Rica Summer of 2022:

Full Name*
First Last
Email Address*
Phone*
Where Are You From?
Street Address City State ZIP / Postal Code
How Old Are You?
Please enter a number from 12 to 20.
Have You Ever Seen the Ocean?
What Inspires You About the Ocean? Why is it Important to Life on Earth?
What Do You Think About Sharks?
What Makes you an Interesting Candidate to Earn a Scholarship to go on this Trip?*
As a Change Agent, How Would You Use this Opportunity?
Upload Video*
IMPORTANT: Do not close this page! Wait until your video upload is fully completed and you are brought to a thank you page.

Requirements:
1. Your video should have answers to the above questions of this form.
2. Upload your video in .mp4 format

Alternative Video Upload Method - Share Your Video With Us Through Instagram:
Step 1: Log in to your Instagram account
Step 2: Upload Your Video Submission
Step 3: Tag @TheSourceH2O
Step 4: Tag @theseachangeagency
Step 5: Add #YouAreTheSourceOfChange
Step 6: Share Your Video!
Accepted file types: mp4, Max. file size: 100 MB.
Phone
This field is for validation purposes and should be left unchanged.