GLOBAL DEVELOPMENT STUDIES 2015-2016 DEVS 305 - Cuban Culture and Society January 7 to March 31, 2016: Eight (8) weekly evening seminars April 28 to May 5, 2016: Queen’s intensive pre-departure sessions May 7 to May 22, 2015: University of Havana, Cuba INSTRUCTORS: Karen Dubinsky, Professor, Departments of Global Development Studies and History Susan Lord, Professor, Department of Film and Media, and Cultural Studies We will leave from Toronto’s Pearson airport, Saturday, May 9 and return to Toronto Sunday May 23, 2015. The travel package, organized by P+G Travel, includes the following: Accommodation, two to three meals/day, at the Hotel Habana Paseo, Havana Airfare, Air Canada, Toronto - Havana return Excursions in and around Havana Lectures at the University of Havana COST PER STUDENT: $2,450 (price is approximate at this point and is subject to administrative approval). THIS DOES NOT INCLUDE: transportation to Pearson Airport in Toronto course readings DEADLINES: October 2, 2015 Deadline for application due at Global Development Studies office, Mackintosh-Corry Hall, B401. Applications due by 4:00 PM. October 9, 2015 Successful applicants will be notified, course registration opens October 16, 2015 Course registration open, Deposit ($200) (non refundable) required to hold a place in the course. November 27, 2015 Travel payment balance ($2,450 less $200 deposit) total $2,250 due (non refundable). APPLICATION PROCEDURE: Application forms (attached) are due no later than 4:00 PM on Friday October 2, 2015. Please return these forms to the Global Development Studies Office, Mackintosh-Corry Hall B401. Enrollment in the course will be limited to approximately 30 students. Applications will be evaluated according to: a) academic performance (B/B+ average minimum) b) academic relevance to student’s program c) motivation and preparation d) clarity of objectives and expectations. Tuition and travel costs are to be paid to Queen’s prior to commencement of the course. A minimum of 30 students is required for the course to be realized. Please indicate also if you would like to be considered for the Soin Enjamio Bursary ($750) available for this course. Preference is given to upper year students, from any department. See DEVS website for further details. DEVS 305: Cuban Culture and Society Course 2015-2016 APPLICATION FORM PERSONAL INFORMATON: Gender: Female or Male (please circle) First Name: Surname: Queen’s Email: Student Number: Date of Birth: (Year/Month/Day) Citizenship: (countries from which you hold a valid Passport) Passport Number Passport Expiry Date: CONTACT INFORMATION: Current School Address: Telephone/ Cell Phone Number: Permanent Home Address: (where you can be reached at all times, if different from current School address) Telephone/Cell No: (if different from above) 1. FIRST EMERGENCY CONTACT INFORMATION: Name: Relationship: Home Telephone: Business Telephone: Cell Phone Number: 2. SECOND EMERGENCY CONTACT INFORMATION: Name: Relationship: Home Telephone: Business Telephone: Cell Phone Number: ACADEMIC BACKGROUND: Current Program of Study: Concentration: Year in Program: LANGUAGE PROFICIENCY: Level of Proficiency in Spanish: (Please note Spanish not a requirement for this course) Other Languages: *Please Include A SOLUS Printout Of Your Transcript With Your Application** ESSAY: Please type a two to three paragraph, double spaced essay, on ONE (and ONE ONLY) separate piece of paper describing your objectives for the course. What are your reasons for taking this course? How does this course fit into your plan of study? What do you hope to gain from this course? Describe any previous international/Latin American experience, etc. This essay will be considered one of the criteria for selection for the course. If you would like to be considered for the DEVS 305 Sonia Enjamio Bursary ($750) please explain your financial situation. HEALTH AND CANCELLATION INSURANCE: Each student must have the proper medical insurance coverage. The program fee includes and insurance package (available to students under 30 years of age) and includes cancellation and interruption, trip delay, emergency medical, travel accident, air flight accident and baggage insurance. Travel must be to non-USA destinations. Please note that we require a photocopy of any additional travel insurance coverage that you may have. APPLICATION DEADLINE: Please ensure this form, and ONE PAGE essay, is returned to: Global Development Studies, Mackintosh-Corry Hall, B401 Queen’s University, Kingston, ON K7L 3N6 Telephone: 613-533-3301 ****no later than 4:00 PM on Friday October , 2015 **** STATEMENT OF UNDERSTANDING I understand that the following conditions apply: 1) The information recorded in the Personal Information and Special Needs section of this form will be used only to determine accommodation arrangements, none of the information received will determine eligibility for the course. 2) Tuitions and travel costs are to be paid to Queen’s prior to commencement of the course. Payment of these fees is subject to the same methods, payment deadlines and penalties as if the student were attending spring/summer course on Queen’s Main Campus during the academic term. 3) The travel package, organized by P+G Travel, includes the following: Accommodation and two to three meals at the Hotel Vedado, Havana Airfare, Air Canada, Toronto - Havana return Excursions in and around Havana Lectures at the University of Havana Cost per student: $2,450 (price is approximate at this point and is subject to administrative approval). This does not include: transportation to Pearson Airport in Toronto, course readings, and tuition. 4) Students will require an up-to-date passport and visa if they do not have Cuban citizenship. The passport expiry date should be a minimum of six months in advance of return from Havana. Photocopies of passports are required, to be held by instructors. 5) Students are responsible for obtaining out-of-country international medical insurance and a photocopy of this international insurance is required for your file in the DEVS office and for the Cuba instructors. 6) Students are subject to the rules and regulations of the partner institution and host country. Students who commit a breach of conduct may be subject to penalties of the host country AND disciplinary action on behalf of Queen’s. 7) Students will be required to sign a waiver of liability before departure and undergo an OCSAP online training. 8) While on the program there is mandatory attendance at lectures and trips included in the program of instruction; exceptions will be granted only with formal permission. Student Signature: Printed Name: Date: Student Number Special Needs: Students with special needs (including learning or physical disabilities, or a health condition) may not be able to have their needs accommodated at the partner institution. Please identify any special needs you may have so that arrangements for accommodation can be made as far as possible or notification of accommodation limitations can be made. Purpose Statement: The personal information collected on this form is collected under the legal authority of the Royal Charter of 1841, as amended. The information collected will be used to determine eligibility for the DEVS 305 – Cuban Culture and Society course. This information will form part of your application and will be shared with other Programme Advisors only. This information will be retained for two years and then be shredded. If you have any questions or concerns about the information collected or how it will be used, please contact the Undergraduate Assistant at 613-533-3301. Consent Statement: I hereby give authority to Global Development Studies, Queen’s University, to access my student file or transcript. I consent to the disclosure of this information to educational administrators in support of my application to the DEVS 305 – Cuban Culture and Society course. Signature: Date: