Fiji International Service-Learning 2016
Cover Sheet
This cover sheet and the attached application are required for anyone interested in attending the Fiji
International Service-Learning 2016 trip. This 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,
April 24th at 3:00 pm.
If you have questions, please contact Sarah Whitley at swhitley@csufresno.edu.
Name:
Address:
Phone Numbers: Home:
Cell:
Email:
Student ID Number:
Major:
Year In School (Check box)
Post-Bac/Graduate Student)
Freshman
Sophomore
Junior
Senior
Fiji International Service-Learning 2016
Supplemental Application
T
his international service-learning experience will take place December 29, 2015 to January 11, 2016. Students
will travel to Fiji 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.
Student ID: __________________________
Gender (check one):
p Male
p Female
(Due to restrictions on accommodations in the village of Naboutini, Fiji, we must limit the number of individuals
from either gender to no more than 10. Therefore, we must collect this information to ensure that we do not select
too many individuals from either gender.)
This form will be used for an anonymous screening of applicants for the 2016 Fiji 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 are able to attach additional sheets of paper if necessary. There is no length requirement.
You must submit your completed application by Wednesday, April 24th at 3:00 pm to the Jan and Bud Richter Center
for Community Engagement and Service-Learning, Thomas Building, Room 107. If you have questions, please contact Professor Sarah Whitley at swhitley@csufresno.edu or Chris Fiorentino at chrisf@csufresno.edu or by calling
559.278.7079.
Why are you interested in the Fiji 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?
What are you, personally, hoping to gain from this experience?
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Throughout this experience you will live and work extremely closely with fellow
participants and the Fijians. 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
p
two weeks of selection, I will be expected to pay a $200 deposit. (Due date is
approximately June 1, 2015) Additional costs of approximately $2,700 for flight and other expenses will be required at a later date. Students will be notified of
the payment deadlines upon selection. Every effort will be made to reduce
student costs through fundraising and donations.
p 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
p
to deadlines related to payments and paperwork could result in a loss of my spot.
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