MTGI Application

Please complete this application if you'd like MTGI to guide you through your gap year experience, even if you're not sure when or where you may go. Our goal is to help make your time out as meaningful and rewarding as possible. If you'd like more information first, you can email or call us (203.645.7804) and we'd be happy to discuss any questions you may have.

This application is designed for us to begin the process of getting to know you and your interests. We'll have more questions for you as we proceed, but this is a good place to start. Once we've processed your application, we will contact you to schedule a time for us to talk. Please use the convenient Paypal link at the bottom of the form to submit the application fee.

We ask for two references as part of the applicaton process. These should not be relatives and at least one reference should be from a teacher or counselor at your school.



Map the Gap International Application
Please complete this application form and press "submit" when finished.
Your Name*
Date of Birth*
Home Address*
Home Phone
Cell Phone
Email Address
Name of High School (incl. city, state)
Graduation Date (mm/dd/yy)
Colleges Applying To
US Citizen?
If no, country of citizenship?
Passport No. & Expiration
If you do not have a passport, please explain (you
must have a valid passport for all programs)
Father's Name
Mother's Name
Parents' Marital Status
Father's Day Phone
Father's Eve Phone
Father's Email
Mother's Day Phone
Mother's Eve Phone
Mother's Email
How did you hear about MTGI?
Name of 1st Reference
1st Reference Day Phone
1st Reference Eve Phone
1st Reference Email
Name of 2nd Reference
2nd Reference Day Phone
2nd Reference Eve Phone
2nd Reference Email
When would you like to start?
How long would you like to spend on a program?
What types of volunteering have you done?
Where have you traveled abroad?
What language(s) have you studied, and for how
Please list any physical, medical or psychological
conditions for which you are currently being or
have recently been treated, even if you don't feel
that it would affect your participation in a
program (Ex: depressive disorders, eating
disorders, ADD)
On an MTGI program you will have the opportunity
of joining a group of gappers. How would you
describe your participation on a team?
On an MTGI program you are sure to experience new
and exciting, but often challenging circumstances.
What challenges do you foresee during your gap
year, and how have you responded to challenges
you've already faced?
Please tell us why you are interested in taking a
gap year. What do you hope to gain from your
Which programs are you interested in?
What types of service are you interested in?
Working with Children 
Health Care 
Sports & Recreation 
Agriculture & Landscaping 
Please tell us about your hobbies, talents, and
favorite pastimes.
Please read MTGI's Terms and Conditions on
the following pages, and indicate here that you
have done so:
I agree 

Map the Gap International Application


Terms and Conditions

a. Explanation of Fees

Application: There is a one-time, non-refundable $50 application fee.

Program Fee: All listed program fees include transportation to/from airport in host country; introductory orientation and materials; room and board (3 meals/day); tuition for language study and "mapping the gap" educational component; transportation within host country for planned trips; community service placement, supervision, orientation & materials; 8-10 guided excursions; international health insurance that covers basic medical, emergency medical evacuation, emergency reunion and more; and 24/7 local support. (This fee does NOT include airfare to/from host country). In addition, you will receive MTGI's comprehensive guidance and support - before, during and after - to plan a meaningful, safe and exciting gap year experience.

Excursions: MTGI provides quality excursions as a part of the student experience in the host country. If a student does not attend a given excursion for any reason, no refunds will be made for missed outings.

Reservation Deposit: Once we've processed your application, met or talked with you for an interview, and offered you admission, a $500 deposit is due to reserve a spot in a program. The deadline for Summer programs is April 23 (Italy) and 30 (Mexico and Nicaragua) ; Fall deadline is July 1; and Spring program deadline is November 1; however, programs fill on a first-come, first-served basis.

Program Fee Balance: The balance of the program fee is due no later than 45 days prior to departure. Your $500 deposit will secure a spot on a program until this date; if you are accepted but have not paid in full by 45 days prior to a program start, your name will be moved to a waitlist and participation is not guaranteed. Further, there will be a $100 late fee incurred on payments after the 45 day mark. No refunds will be issued for cancellation by the student after 45 days prior to the start of the program.

Mail application and all fees to:

126 Camp Workcoeman Rd
New Hartford, CT 06057

b. Code of Ethics

MTGI programs are designed to immerse students in other cultures and engage them in community service and learning.  The programs may include difficult and challenging experiences and MTGI expects participants to maintain a cooperative, flexible and attentive attitude.  MTGI further expects participants to be respectful of the cultures and communities they visit.  Appropriate dress, language and behavior are required and MTGI reserves the right to remove any participant from any program at any time without refund if the participant is found in violation of these requirements.

c. Cancellation Policy

MTGI reserves the right to cancel, alter, reschedule, or amend any or all programs offered at any time. If a program is cancelled by MTGI prior to departure, MTGI will refund all payments made by the applicant. If a program is cancelled by MTGI once it has begun, a portion of the applicantsÂ’ total payments will be refunded. Once you have accepted admission to a specific MTGI program, cancellation by you before 45 days prior to departure results in a refund of program fees minus the $50 application fee and the $500 reservation deposit. No refund will be given if you cancel your participation after 45 days prior to a program start.

d. Required Documents, Forms

Valid Passport & Visa: You must have a passport valid for at least six months AFTER the end of the program. Processing a passport can take six to ten weeks or longer. If you have a passport, check that it will be valid for the period in question. Please send your MTGI application even if you are waiting to receive a passport, but make sure we know you are obtaining one. For the Italy program, you are required to obtain a Student Visa from your local Italian consulate, for which you need to allow at least 8 weeks. We will provide you with information about obtaining a visa, but it is your responsibility to acquire the necessary passport and visa documents for international travel. For this reason we strongly recommend beginning the MTGI application and document procurement process as early as possible.

Medical Form: Once you've been offered a spot in an MTGI program, we'll send you a medical form for you and your doctor to complete.

We'll also be sending you some other forms to complete as part of your enrollment packet, including a contract of participation.







Copyright © 2009 Map the Gap International All rights reserved.
Revised: February 21, 2010 .