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 12
th
or a 5-day stay
until June 14th; Phase 2 includes an extended 2-day stay until June 27
th
or a 5-day stay until
June 30
th
).
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 20
th
at 3:00 pm to the
Jan and Bud Richter Center for Community Engagement and Service-Learning, Thomas
Building, Room 107.
