Fiji/Tanzania International Service-Learning 2016
Cover Sheet
This cover sheet and the attached application are required for anyone interested in attending
the Fiji or Tanzania International Service-Learning Summer 2016 trip. The cover sheet will be
removed before applications are shared with selection committee members. Therefore,
applicants will remain anonymous during the selection process. Please submit the fully
completed cover sheet and application to Chris Fiorentino, Jan and Bud Richter Center for
Community Engagement and Service-Learning, Thomas Building, Room 107 by Friday,
November 20th at 3:00 pm for Fiji and Monday, November 30th at 3:00 pm for Tanzania.
If you have questions, regarding the Tanzania trip, please contact Jes Therkelsen at
jtherkelsen@csufresno.edu. If you questions regarding the Fiji trip - Phase 1, please contact
Professor Fran Pomaville at fpomavil@csufresno.edu, for Phase 2 contact Professor Ray Hall at
rhall@csufresno.edu or Professor Katie Dyer at kdyer@csufresno.edu. For general questions
contact Chris Fiorentino at chrisf@csufresno.edu.
Name:
Address:
Cell:
Phone: Home:
Email:
Student ID Number:
Major:
Year In School (Check most appropriate):
Freshman
Sophomore
Junior
Senior
Post Bac/Graduate Student
Fiji/Tanzania International Service-Learning 2016
Supplemental Application
For each of these international service-learning experiences we will have two summer sessions;
Phase 1, from approximately May 26-June 10; and Phase 2, from approximately June 12-June
25. Each phase will include optional adventure options*. Students will travel to Fiji or Tanzania
where they will spend 2-3 nights in a hotel and the remainder of the time in a small, rural village
where accommodations are very rustic. Participants must be in good health and willing to forgo
many of the common amenities we take for granted here in the United States.
(*Adventure options for Phase 1 includes an extended 2-day stay until June 12th or a 5-day stay
until June 14th; Phase 2 includes an extended 2-day stay until June 27th or a 5-day stay until
June 30th).
Student ID: ______________________
Gender: Male
Female
(Due to restrictions on accommodations in the village of Naboutini, Fiji and Kilimanjaro,
Tanzania, we must collect this information for sleeping accommodations.)
Please Select Which Trip/Phase you are Applying for:
Tanzania – Phase 1: May 26-June 10
Tanzania – Phase 2: June 12-June 25
(Check both if you are selecting the 5-week Tanzania option.)
Fiji – Phase 1: May 26-June 10
Fiji – Phase 2: June 12-June 25
(Check both if you are selecting the 5-week Fiji option.)
This form will be used for an anonymous screening of applicants for the Summer 2016
Fiji/Tanzania Service-Learning trip. Please do not write your name on the form. While we ask
that you limit your responses to each question to no more than a few paragraphs at most.
You must submit your completed application by Friday, November 20th at 3:00 pm for Fiji and
Monday, November 30th at 3:00 pm for Tanzania to the Jan and Bud Richter Center for
Community Engagement and Service-Learning, Thomas Building, Room 107.
Why are you interested in the Fiji/Tanzania trip as opposed to another study abroad
trip?
What passions, talents, or resources will you bring to this trip that could benefit your
fellow participants and that you can share with the people of Fiji/Tanzania?
What are you, personally, hoping to gain from this experience?
Throughout this experience you will live and work extremely closely with fellow
participants and the Fijians/Tanzanians. Group cohesion is vital. Please discuss
your ability and willingness to contribute to a positive team dynamic, including
through regular team reflection conversations and group activities.
Please check the boxes below indicating that you understand.
Final trip costs are yet to be determined. However, I understand that within approximately three
weeks of selection, I will be expected to pay a $200 deposit. (Due date is approximately
January 15, 2016) I understand that the total program costs range from approximately $3,500 $4,200, depending on the trip selected and length of stay. Students will be notified of the
other payment deadlines upon their selection to the program. (Please note that every effort
will be made to reduce student costs through fundraising and donations. However,
participants should be prepared to pay the entire cost, should fundraising efforts be
ineffective.)
I understand that the trip accommodations are rustic and that the main purpose of this trip is
service and multi-cultural learning.
I understand that selection for this trip is competitive and that failure to adhere to
deadlines related to payments and paperwork could result in a loss of my spot.