Wufoo

Global Partnership Trip Application

We are glad that you have decided to apply for a Global Partnership Trip. A trip leader will contact you with information about interviews. We hope this is just the beginning to your journey with Global Partnerships. If you want to learn more about the Global Partnership trips for the 2014-2015 school year, please visit www.npumin.com/globalpartnerships.

Thanks,

Jessica Wheelwright Tchindebet, Global Partnership Coordinator
jlwheelwright@northpark.edu
773-244-4987

Trip Preference
First Choice *
Second Choice *
Contact Information
Full Name * First Last
Email
(Please use North Park email address) *
Phone Number * ### - ### - ####
Student ID# *
Address/CPO Box *
Personal Information
Gender *
Male Female
Date of Birth * MM / DD / YYYY
Ethnicity
Hispanic/Latino Non Hispanic/Latino
Race
American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Other
Intended Graduation *
Major
Minor
Native Language
Other languages
India, Zambia, Dominican Republic, South Africa and Mexico Trip Applicants Only

If you do not currently have a passport, we recommend that you apply for one as soon as possible.
Are you a U.S. citizen? *
Yes No
Do you have a U.S. passport? *
Yes No
If you are not a U.S. Citizen from what country is your passport?
If you have a passport, please type your name EXACTLY as it appears in your passport: *
Will you complete pre-trip preparation including taking the Intercultural Development Inventory (IDI), and learning and reflecting about the language and culture of your future host country during the semester before the trip? *
Yes No
Global Partnership Information
Have you gone on a Global Partnership trip before? *
No Yes
If Yes, please tell us about it...
Have you participated in any other service/mission trips or long-term travel such as study abroad?
No Yes If Yes, please explain...
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? Specifically, why do you want to go on your desired trip destination? *
2. Please tell us a little bit about your faith journey. *
3. What extracurricular activities are you currently involved in? *
4. What cross-cultural and/or service experiences have you had?

If you are going to Washington D.C.--what experience do you have with advocacy or politics? *
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? *
How do you intend to pay for your trip? If you plan to fundraise, how difficult do you anticipate that being in order to cover costs? *
Are you involved in a local church congregation? If so, what is the name of the church? *
Were you involved in a church congregation before coming to North Park? If so, what is the name of the church and where is it? *
Please list any allergies, health conditions, medical 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 Phone 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

Contact Information

Personal Information

India, Zambia, Dominican Republic, South Africa and Mexico Trip Applicants Only

Global Partnership Information

Short Answer Essays

Trip Stipulations