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Haiti Supplemental Application


Warning: This form will time out.  Please read the essay questions and write your answers in a word processing document.  When you are done answering all of the questions, copy and paste your answers into this form. If this form is submitted correctly, you will be directed to information about interviews for Haiti.

Before filling out this application, please take the time to read about this trip HERE.

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Full First Name
Last Name
Nickname (Optional)
Phone Number
 
Email
 
Student I.D. #
Class
FreshmanSophomoreJunior
Senior
Which Haiti trip(s) are you interested in attending?
Winter Jan 3-9
Spring Feb 26-Mar 6
Summer: approx May 10-May 24
 
Have you ever travelled internationally?
YesNo
(If yes) Please describe your previous international travel experience:
 
SHORT ESSAY QUESTION In the space provided, please respond to the following questions:
Henry Miller said: “One's destination is never a place, but a new way of seeing things.” Please describe a previous experience you've had that relates to this quote.
The goal of LMU's Haiti Compact is to involve the entire campus in Haiti's rebuilding efforts. As a participant on this trip, how would you be an advocate for Haiti on campus, pre- and post-trip? Describe any projects, fundraisers, or ideas you have.
Please explain why you want to go on this trip and how you imagine you will personally gain from this experience.
Please rate your experience with construction
ExpertLots of experienceSome experienceLittle experienceNo Experience
Please rate your experience with camping
ExpertLots of experienceSome experienceLittle experienceNo Experience
Please rate your experience with painting
ExpertLots of experienceSome experienceLittle experienceNo Experience
Please rate your experience with teaching
ExpertLots of experienceSome experienceLittle experienceNo Experience
The conditions in Haiti are difficult and always changing. It will be hot, the physical labor will be tough, and you will be challenged. At times, there will only be one option for food, and exceptions will not be made. Your signature below indicates that you are aware of these challenges and will not complain on the trip. If you believe this will be a problem for you, please explain in the space provided below.
Digital Signature:
Date:
Pick date
Clear selection
Use this space to outline any issues you may have in Haiti: