Global Partnership Trip Application

Trip Preference

First Choice *

Second Choice *

Contact Information

Full Name * First Last

Email
(Please use North Park email address) *

Student ID# *

Address/CPO Box *

Personal Information

Gender *

Male Female

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

Israel-Palestine, Thailand, Zambia, Ecuador, Taiwan, Mexico and India 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 on either October 10th (Winter Trips) or February 6th (Spring and Summer trips.) Exceptions to 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

Attach a File

Wufoo

Trip Preference

Contact Information

Personal Information

Israel-Palestine, Thailand, Zambia, Ecuador, Taiwan, Mexico and India Trip Applicants Only

Global Partnership Information

Short Answer Essays

Trip Stipulations