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Please list which trip you are applying for, and if you want to be considered for
more than one, please rank your choice -
Chicago, New Orleans, Washington DC, White Earth. |
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APPLICATION QUESTIONS -
1. Why do you want to participate on this service-learning trip? |
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2. Why is it important that you spend your spring break learning and serving? |
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3. What does service-learning mean to you?
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4. What experiences do you have with community service or volunteering?
How have those experiences shaped the skills, wisdom, and knowledge that you'll be bringing to the group? |
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5. What you would like to gain from your service-learning experience? |
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6. Besides the list of questions provided above, what other questions are you hoping to investigate and why?
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7. What three expectations do you have of the group with whom you will be serving? |
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| DATE OF APPLICATION: |
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| TELEPHONE: |
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| DATE OF BIRTH: |
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| YEAR AT HAMLINE: |
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| MAILBOX: |
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| MAJOR(S): |
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| MINOR(S): |
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| E-MAIL: |
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EMERGENCY CONTACT INFORMATION:
NAME: |
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EMERGENCY CONTACT RELATION TO YOU: |
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EMERGENCY CONTACT ADDRESS: |
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EMERGENCY CONTACT CITY, STATE, ZIP CODE: |
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EMERGENCY CONTACT TELEPHONE: |
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EMERGENCY CONTACT CELL PHONE: |
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HEALTH INSURANCE INFORMATION:
INSURANCE CARRIER: |
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HEALTH INSURANCE GROUP # |
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HEALTH INSURANCE ID # |
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As a participant upon acceptance, you agree to the following:
- Participation in all mandatory pre-trip work of readings, discussions, group meetings and events. Tuesday, Feb 3, 2010;
- Attendance at orientation dinner, date to be announced;
- Learn to Serve, Monday, Nov 9. 5-6:30 p.m.;
- Reflection during and after the trip (keeping a journal and taking photographs are helpful);
- Fundraising for your service trip. Each group needs to raise $500;
- Attendance at Welcome Home dinner, to be scheduled;
- A presentation to the Hamline Community during Honors Day;
- Refrain from alcoholic beverages or drug consumption while on the trip (even if YOU ARE 21);
- Student Fee: $175 for Minnesota and $250 for other Catalyst trips. Fee is due on December 1, 2008.
- NEW ORLEANS and Washington: if you cancel after Feb 2, the cost of the plane ticket will be forwarded to your student account.
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| Signature (by entering your name you agree to the statements outlined above): |
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| For any questions, please call Office of Service-Learning and Volunteerism in the Wesley Center for Spirituality, Service and Social Justice at 651-523-2483. |
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