Applications & Forms

Applications are due December 1st.  Completed applications should be mailed to:

Wisconsin 4-H International Programs
130 Pyle Center
702 Langdon St.
Madison, WI 53703

OR scanned and emailed to wi4hinternational@extension.wisc.edu

Be sure to carefully follow all instructions included with the applications.  Also included with the downloadable applications below are program details, cost information, and expectations.  If you have questions, please contact the Wisconsin 4-H International Programs office at 608-262-2491.

Have questions? See our FAQ’s page for more information about fundraising, and other common questions.

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Delegates (Youth)

To apply to become an Wisconsin 4-H delegate to Costa Rica, Japan, South Korea, Taiwan, Romania, Argentina or Norway in Summer 2022, download and complete all portions of this application:

***SUMMER 2022 APPLICATIONS LIVE NOW!

Delegate Online Application

Delegate Reference Letter

Delegate Interview Form

Japan Medical Forms

Non-Japan Medical Forms

              Terms and Conditions for Outbound Participants

The completed application includes:

  • Completed online application
  • Letter of Reference from your school (teacher, principal, etc.)
  • Letter of Reference from your community (4-H leader, civic leader, employer, etc.)
    • We strongly recommend using a 4-H leader or your county educator for a reference if possible. Regardless, we ask that delegates reach out to their county 4-H office during the application process so the county educator can provide appropriate support and resources.
  • Delegate Interview – contact us to set-up an interview!
  • Program Fee of $250 (payable to University of Wisconsin Extension)
  • Program deposit (amount varies by program; payable to States 4-H International Exchange Programs)
    • $2,000 for Japan 8-week, $1,500 for Japan 4-week, South
      Korea, Norway, Taiwan, Romania and $1,000 for Costa Rica
      and Argentina

Items due by March 15:

  • Second payment due
    • $2,000 for Japan 8-week, $1,500 for Japan 4-week, South
      Korea, Norway, Taiwan, Romania and $1,000 for Costa Rica
      and Argentina
  •  Medical Form and passport copy due

Items due by May 1:

  • Remaining payment due

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Adult Advisors (Chaperones)

To apply to become an Adult Advisor for a 4-H youth delegation to  Costa Rica, Japan, South Korea, Taiwan, Romania, Argentina, or Norway in Summer 2022, download and complete all portions of this application:

***SUMMER 2022 APPLICATIONS LIVE NOW!

Chaperone Online Application

Chaperone Reference Letter

Chaperone Interview Form

Japan Medical Forms

Non-Japan Medical Forms

The completed application includes:

  • Completed online application
  • Chaperone Background Check disclosure form
  • Chaperone Interview Report (contact us to set-up an interview)
  • Two Letters of Reference from your community
  • Confidential Statement from your 4-H Youth Development Agent
  • Partial Program Fee of $300 (payable to States’ 4-H International )

Items due by March 15:

  •  Balance of program fees due (varies by program)
  •  Medical Form and Passport Copy due
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