Application for 2009Mission Trips

Application for 2009Mission Trips

‡San Francisco, California-January 3-10, 2009, $100

‡Shiprock & Santa Fe, New Mexico, March 7-14, 2009, $100

‡Taizé, France, May 10-19, 2009, $250

‡Vietnam, May 10-21, 2009, $450

Name______

Box______Phone Number______

R.A.______Academic Advisor______

Email______

Class______

Mark in order of preference (1st, 2nd,etc.) those trips for which you wish to apply.

__ San Francisco__ Shiprock/Santa Fe, NM __ **Taizé, France __**Vietnam

**Note: To apply for trips outside the U.S. you MUST attach proof of up-to-date passport to your application. Applications without passport copy attached will not be considered, and the passport must be valid six months beyond the travel dates.

October 20, 2008Completed applications, including letters of recommendation, due by 3:30 p.m.* (In the Hendrix-Lilly Office, 3rd Floor Mills)

October 27-Nov. 7, 2008Interviews

November 12, 2008Notification of Acceptance

November 19, 2008Trip deposit due to the Hendrix-Lilly Office

(amounts listed above)

December 7, 2008Mandatory Orientation for San Francisco trip

6:00-9:00 pm

March 1, 2009Mandatory Orientation for Shiprock, Santa Fe trip

6:00 pm-9:00 pm

April 19, 2009Mandatory Orientation for Taizé & Vietnam trips

I. Please write brief essays answering each of the following:

Consider a time when you reached out to help another person, or a time when you failed to help someone who needed your help. Briefly describe that situation and what you learned from it.

2. Consider a time that you were involved in a group in which the physical conditions or group dynamics were less than desirable. What was your role in the situation? How did you handle it?

3. Explain why you wish to be apart of a Hendrix-Lilly Mission Trip this year. Why will a week of service work be meaningful for you? What do you hope to offer?

II. Please provide two letters of recommendation: one from a non-Hendrix associate who is familiar with your character and goals (cannot be a family member), and one from a Hendrix faculty or staff (freshmen may substitute a letter from a high school teacher or counselor). It is YOUR RESPONSIBILITY to see that your recommenders send us their letters by the deadline; we will not trace these down for you, and we will NOT consider your application without recommendations.

IV. Please complete the Confidential Information Waiver!

Confidential Information Waiver Form

I, ______, request that the Office of Student Development and the chair of the Committee on Academic Integrity provide, both to the Chaplain and to the Hendrix-Lilly Vocations Initiative Staff, access to any relevant information in my personal file. This permission is given with the understanding that all such information is confidential, is to be used only in order to make determinations of importance to the placing and support of the student participating in trips sponsored by the Office of the Chaplain and the Hendrix-Lilly Vocations Initiative, and that the information is to be requested only when necessary.

______

SignatureDate

For the sake of safety and out of respect for our hosts, there will be regulations on alcohol consumption and other social activities.

I will comply with these regulations.

______

SignatureDate