Wufoo

Global Partnership Trip Application

We are so glad that you have decided to apply for a Global Partnership Trip! A student trip leader will contact you with information about interviews. We hope this is just the beginning to your journey with Global Partnerships, and consequently, with God! If you want to learn more about the Global Partnership trips for the 2018-2019 school year, please visit my office in JC 126 for all the updated information!

Thanks,

Allison Crino, Global Partnership Coordinator
acrino@northpark.edu

Trip Preference
Trip Preference
First Choice *
Second Choice *
Contact Information
Full Name * First Last
Email
(Please use North Park email address) *
Phone Number * ### - ### - ####
Student ID# *
Personal Information
Gender *
Male Female Non-Binary
Date of Birth * MM / DD / YYYY
Racial or Ethnic background
American Indian or Alaska Native Asian Black or African American Caucasion Hispanic/Latino Native Hawaiian or Other Pacific Islander Mixed Other
Intended Graduation date *
Major
Minor
Primary Language
Other languages
Students traveling outside the US: Please apply for a passport.

If you do not currently have a passport, we recommend that you apply for one as soon as possible. If you are unable to apply for a passport, please consider our domestic trips!
Are you a U.S. citizen? *
Yes No

This question will help us put you on the trip that is best for you!
Do you have a U.S. passport? *
Yes No

US passports are not required for your travel! However, if you want to go overseas, you will have to have the appropriate documentation. If you are unsure if your current status allows international travel, come see Allison in JC 126.
If you are not a U.S. Citizen from what country is your passport?

If you hold a passport from a county other than the US, you will be required to travel internationally with a US visa to exit and re-enter the US. You will also be required in many cases to obtain a visa from the country you intend to visit on the GP trip. Come see Allison in JC 126 for more information.
If you have a passport, please type your name EXACTLY as it appears in your passport: *
Will you complete pre-trip preparation including weekly team meetings/trainings, occasional fundraisers, and intercultural activities? *
Yes No
Global Partnership Information
Have you gone on a Global Partnership trip before? *
No Yes
If Yes, please tell us where you went, and what you did.
Have you participated in any other service/mission trips or long-term travel such as study abroad?
No Yes If Yes, please share where you went, and what you did.
If you go on a domestic trip, are you over 19 and willing to be a driver for your team? *
Yes No
Short Answer Essays
1. Why do you want to participate in a Global Partnership trip? What inspires you about this particular trip destination? *
2. Please tell us about your faith journey. *
3. What extracurricular activities are you currently involved in? *
4. What cross-cultural and/or service experiences have you had (in addition to any service trips already mentioned) *
5. What skills do you have (writing, photography, teaching ESL, experience with children, sports, construction, computers, play an instrument, singing, dancing, etc.) that will contribute to your group's success and help serve our partner organization? *
Select how you intend to pay for your trip
Fundraising full amount Fundraising part, self-pay part Self-pay Parent-pay
Are you involved regularly in a church or faith community?
Yes No
Were you involved in a church or faith community before North Park?
Yes No
If yes, what is the name of the church or community? *
Please tell us about any allergies, mental health conditions, health limitations, physical disabilities or dietary requirements you have. *
Would you be willing to live in the home of a family that does not speak English for several days?
Yes No
Would you be willing to eat food that is foreign to you?
Yes No
Are you willing to to share the story of your spiritual pilgrimage with others?
Yes No
Would you be willing to limit your personal freedoms including time, space, attire and speech so as to fit in appropriately with the local culture?
Yes No
Have you prayed about your decision to apply for this trip?
Yes No
What is your preferred form of communication if your team leader needs to contact you?
Email Text Facebook message Face to face
Trip Stipulations

Answering the following 6 areas affirmatively indicates my agreement and understanding of the responsibilities I am undertaking as a trip participant. I also personally assume any risks involved in activities outside of the trip program. Submitting this Trip Agreement form online indicates that I have carefully read and agree to the below conditions.
1. Meetings - Attend all pre-trip, on-site, and post-trip meetings and activities, including the mandatory trip orientation this may be granted on a case by case basis by the trip leader and only for extenuating circumstances. *
I agree I disagree
2. Liability - Behave in ways that are responsible, mature and representative of the best of North Park University. This means compliance with all applicable state, federal, and international laws as well as the North Park University Student Handbook. This includes the no-alcohol policy during college sponsored events. Ignorance of a law is not an excuse or defense. If your behavior is unacceptable or in violation of this agreement, the trip leaders (in consultation with the trip advisor) may terminate your participation in this trip. Termination means you must find your own way home at your own expense, your lodging and reservations will be canceled, and you will not receive a refund of any of your trip fees. *
I agree I disagree
Have you ever been charged with academic dishonesty or received any disciplinary sanctions from the Office of Student Development that you believe might be relevant to your participation in a Study Abroad program? *
Yes No
I understand that I must complete a health waiver form and a liability waiver in addition to this application. (Waivers will be given to you after you have been accepted to a GP team.) *
Yes No
3. Participation - Initiate and participate in activities that help build community, support learning and allow for personal growth. This may include organizing community meals, leading reflections (i.e., group journals, ecumenical prayer, and discussions), planning games or outings, etc. Stick with the group. Any activities done outside of the structured trip activities are at your own risk. *
I agree I disagree
4. Reorientation – As an individual or with your group, develop and implement a project to educate others about your experience and what you have learned. Projects could include a video, a slide show, a picture display, assisting with recruitment, doing presentations, etc... *
I agree I disagree
5. Payment – Payment is in three tiers. Please turn in 10% of your trip costs within 5 days of acceptance. Another 40% will be due one month after acceptance. The final 50% is due on the date specified on the trip webpage (usually one week before your trip.) You will not be eligible to attend the trip unless you have paid/raised the full amount for the trip. *
I agree I disagree
I understand that all team members must raise the entire amount of money for the trip before embarkation. I agree to help fund our trip with individual and group fund raising projects which may include one or more of the following: letter writing, GP auction, or sales. *
Yes No
6. Cancellation – If for some reason you cannot attend the trip, you are still responsible to pay for any costs that have already incurred. *
I agree I disagree
Name

I have read all above statements and submit this application with my electronic signature. * First Last
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Wufoo

Trip Preference

Trip Preference

Contact Information

Personal Information

Students traveling outside the US: Please apply for a passport.

Global Partnership Information

Short Answer Essays

Trip Stipulations