Full legal name (as printed on your government-issued photo ID)  |
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Birthdate (day, month, year format example: 10Jan1991:
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| Full Campus Address : |
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| Cell Phone : |
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| Email Address : |
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| Class Standing: |
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| Major: |
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| T-shirt Size: |
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| Will be 21 or older before first choice trip and willing/able to drive a trip minivan: |
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| Have you had "SNC's Defensive Driving" course? |
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| Are you willing to take the St. Norbert College Defensive Driving Course? |
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| Are you willing to commit to pre and post-trip meetings? |
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| Are you in good standing with the College? |
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| Have you been on an SNC Service Trip before? |
If yes, where did you go:
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Please select your top choice of trip you are applying for:
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| Please select your second choice of trip you are applying for: |
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| Please select your third choice of trip you are applying for: |
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| If not chosen for one of your top three choices, would you be interested in going on a different TRIP? |
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| I understand that the trip fee is a commitment upon acceptance of application and will be due within one week of application acceptance. |
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| Why are you interested in going on your first ranked trip? |
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| Why are you interested in going on your second ranked trip? |
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| What are your fears or concerns for this trip? |
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| What is your definition of a successful trip? |
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| What personal and/or group skills do you have (fund raising, cooking, urban travel, etc.) that will contribute to your group's success? |
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| What experience do you have with diversity, social justice, and/or service in the area(s) for which you are applying? |
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| What do you expect to learn from your trip experience? |
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| TRIPS interviews will be held Monday, September 26 between 5:30 and 8:30 pm. Will you be able to attend? |
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| I understand that I must complete a health waiver form in addition to this application. (Download a health waiver form and complete it once you send this application. Health Waiver forms are due at the first orientation meeting.) |
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