Yella 2010

Yella 2010 Application Form

Applications will be considered as they are received, from Sept 1 - Oct 17, 2009 (or until tour is filled).
Because this is a group experience, successful applicants will be determined based on balance in gender, age and life experience.
Commitment to group fundraising is important, as group fundraising efforts are intended to reduce the total cost of the trip for all participants.
A $250 non-refundable deposit is due at the introductory meeting of successful applicants. This meeting will be held on the afternoon/evening of Nov. 14 in the GTA or Kitchener-Waterloo area.

Questions? Contact Allan Reesor-McDowell at 416-423-9229.

Name and address

First Name:

Last Name:

Street address:

City:

Province/State:

Country :

Postal/zip code:

Phone:

Email:

Permanent mailing address (if difference from above):

Date of birth (yyyy-mm-dd):

Sex:

Male

Female

Passport

You will need a passport that is valid for at least six months at the time of travel.

I have a valid passport. :

Yes

Issueing country:

Home congregation (if applicable):

Interests and Experience

Academic Interests:

Extracurricular Activities :

Work or Volunteer Experience:

Languages Spoken:

Emergency Contact Information

Name:

Relationship:

Daytime Telephone:

Cell/Evening Telephone :

Email:

Address:

Personal Reference #1

Name:

Address:

Daytime Telephone:

Evening/Cell Telephone:

Email:

Relationship:

Personal Reference #2

Name :

Address:

Daytime Telephone :

Evening/Cell Telephone:

Email :

Relationship:

Please answer the following questions

Are there health concerns that could affect your participation? If so, please explain.:

Describe two opportunities that you have had to relate to people of other cultures. :

What two qualities should a person have in order for cross-cultural experiences to be positive?:

You will be spending three weeks traveling with the same group of people.

Describe a group experience that you have had. :

What strengths do you bring to the group situations? :

What do you find challenging? :

What do you hope to learn or gain through participating in this trip? :

How do you envision Yella as part of your Chirstian faith journey? :

Fundraising

Participants are expected to assist with group fundraising efforts to reduce the total cost of the trip for each participant. What suggestions would you have for fundraising activities that could raise money, develop awareness and support of the trip, and provide the opportunity for group building?

Suggestions:

After the trip:

Yella 2010

Yella 2010 Application Form

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