Note to Applicants: the Aeroplancharitable Poolingprogram Helps Uottawa Students Required

Note to applicants: The AeroplanCharitable PoolingProgram helps uOttawa students required totravel by air to reach the destination of their community engagement or service learning activity. Students benefitting from the AeroplanCharitable PoolingProgram must attend the CGCE international pre-departure training and post-service debriefing. The student submit to the CGCE a photo of him or herself in action during the community engagement activity and a 200-word summary about the student’s community engagement activity, the impact of the student’s work on him or herself and the impact of the student’s work on the community.

AEROPLAN CHARITABLE POOLING PROGRAM
2014 APPLICATION FORM
Submission date:
First name:
Surname:
Student number:
Birthdate:
Address:
Home phone:
Cell. phone:
Email:
Faculty:
Program of study:
Expected year of graduation:
Are you a Canadian Citizen?
If not, please provide your permanent resident card no.: / Yes______
No______
If applying for an international project:
Do you have a valid passport? When does it expire?
What is your travel destination (city/town and country) as well as start and end dates / Destination ______
Start date: ______
End date: ______
Are you receiving other sources of funding for this project? / Yes______
No______
Your Project
1.Please indicate in the space provided below:
a) a description of the community engagement or service learning activity in which you will take part (50-75 words)
b) a budget of your expenditures including the amount for airfare
Item / Cost
Visa
Health, medical, travel insurance
Flight
Accommodation
Local transportation
Food and living
Total
2. Please explain below how your community engagement or international service learning activities:
a) constitute voluntary, unpaid work,
b) respond to a pressing social or development need identified by the community in which you will be placed and
c) aim to bring about positive social change in the community in which you will be placed.
3. Please describe below your leadership accomplishments and how you have the relevant skills, experience and knowledge to successfully complete your community engagement project or service learning activities.
How did you hear about the AEROPLAN CHARITABLE POOLING PROGRAM ?
CGCE website
Facebook/Twitter
Word of mouth
Information session
Classroom presentation
Email list
uOzone
La Rotonde
The Fulcrum
Other (please specify) ______

Required documents:

Fully completed application form
Proof with a date confirming that you are currently registered at the University of Ottawa (for example, most recent version of your grade report downloaded from uoZone, etc.)
A letter of recommendation or support from a professor of a recognized post-secondary institution or a community partner attesting to your ability to undertake the community engagement or community service learning activities, to your need for assistance to cover air travel costs and to your ability to integrate into the community in which the community engagement or community service learning activities will take place.

Email you completed application form and proof of registration to and have your professor or community partner send his or her letter of recommendation to . In the subject heading indicate “AEROPLAN CHARITABLE POOLING PROGRAM”. Please note that it is the responsibility of each applicant to ensure that the above documents are received by the Centre for Global and Community Engagement.

Review ofapplications: 3-4 times per semester when a critical mass of applications has been received. Special selection committee meetings can be organized to address urgent requests, particularly in the months leading to summer when students tend to travel more for international or local volunteering.

Thank you for your interest!

January 16, 2014Page 1