Name :

Sex: male female

major :

Email :

Local Phone :

Marquette Address:

Address and Apt.#:

City : Zip :

Home Phone or Cell:

Home Address:

Address and Apt.# :

City: State:

Zip :

Date of Birth:

Year:

Freshmen
Sophmore
Junior
Senior
Graduate Student

In Case of an emergency, please contact:

Relationship to Applicant :

Phone :

Discribe any medical conditions, past or present, that may or may not affect your trip:

List medications presently taking and for what condition:

Please answer the following question in a short essay form. You may cut and paste from a word document if you would like.

Why do you wish to take part in an immersion trip?

List all previous experience with service and/or immersion trips, including dates/years.

List any possible plans for further trips, study abroad, or service-learning.

What motivates you?

How do you feel you have grown in your faith through voluntary service?

What do you hope to learn from this particular immersion experience?

Please list any skills (i.e. foreign language proficiency, relavent traveling experience, medical training or certification, teaching experience, etc.) which you think would be of use for this immersion experience.

We, on this trip, do not see this as a typical service trip for we believe that we go to immerse ourselves into the glory of God found in this Belizean community. Our reality of privilege, as members of the United States and this Marquette University, allows us many opportunities not afforded to most people of the world. The purpose of this immersion trip is to be more aware of those privileges and to possibly leave them behind as we immerse ourselves into their culture. As a result, we will strive to avoid the excesses common to most affluent tourists. Therefore, the program asks its participants to commit to an abstinence from alcohol and excessive foods, a "no head phones" request, and a willingness to experience community in a deeply meaningful way. Would you have a problem with any of the requests made of you to live without some of the necessities you have come to depend on? Explain.

This program is structured in a way that promotes spiritual reflection, prayer, and group processing. Are you comfortable with this? Have you led others in group prayer and/or group processing? If so, describe: