Student Application - One World Brigades

TRAVEL DESTINATION

Pick One Destination*

Ghana
Honduras
Uganda

BASIC INFORMATION

Name*

First Last

DOB*

Class Year*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Home Phone

Work Phone

Email*

T-Shirt Size

Major/Minor

PERSON TO NOTIFY IN CASE OF EMERGENCY

Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code

Home Phone

Work Phone

Email

AVAILABILITY AND INTERESTS

Availability*

During which hours are you available for volunteer assignments leading up to the departure? (Choose all that apply.)

Interests*

Tell us in which areas you are interested in volunteering. (Choose all that apply.)

ESSAY QUESTIONS

Please consider the following questions carefully and let your answers reflect conscientious thought about the endeavor.

Essay Question 1: What is your personal philosophy of service?*

Essay Question 2: What expectations do you have for the experience and for yourself?*

Essay Question 3: Describe a time when you have been out of your comfort zone and how you dealt with the situation?*

Essay Question 4: Why do you want to participate in this particular international service trip?*

Essay Question 5 (Optional): Is there anything else you would like us to know while reviewing your application?*

PREVIOUS TRAVEL EXPERIENCE

Please check if true

Traveled outisde of the U.S.
Traveled outside the U.S. on a service trip

If answered yes, please describe when, where and why the trip took place:

Previous Volunteer Experience (Locally, Nationally, Internationally)

Summarize your previous volunteer experience (bullet points are accepted)

AGREEMENT AND SIGNATURE

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Full Name*

Date*

OUR POLICY

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Thank you for completing this application form and for your interest in volunteering with us.