Application Form Summer Term 2010 Rome-Florence-Munich
departing May 20 or July 22 for three weeks
Application Due by January 15, 2010
Last Name, First Name, Number of College Credits Completed counting Fall Term 2009 (like this: Mitchell, Jake, 64) --
E-mail address
Campus Dorm and Room Number
Your Date of Birth
How old will you be in May 2010?
Your cell phone number and best times to call
What are your major(s) and minor(s)?
What activities, sports, and/or social service are you involved in? Give dates and short descrition of each
What is your cumulative gpa, approximately?
Intended date of graduation (month, year)
Have you been abroad before? Where and how long?
Where or how did you hear about this program?
You are aware of the $200 deposit about January 15?
How strongly do you want to do this (from 1-10, ten being strongest desire)?
Why do you want to participate in this seminar? (about 50-100 words, please):
Describe your personal qualifications for this program and what you would be able to contribute to the group (about 50-100 words, please):
What hesitations might you have about going?
Other students you would like to recommend for this Rome program and their email address if you have it handy:
This Rome-Florence-Munich trip will depart May 20 (beginning of summer) and/or July 22 (end of summer). Many students prefer end of summer because it gives them a chance to earn some money first. Would you be able to join us July 22 to August 10? Please explain.
This form is due as soon as possible so that we can get good arrangements on the airline and in hotels. If there are many applicants, you may be asked to provide a couple letters of recommendation Applicants will be told whether they are part of the program soon after applying.
Applications due ASAP. __ Applications due January 15. It is to your advantage in the selection process if you apply early! __ Deposit of $200 due January 15, 2010. You have nothing to lose!
Make sure your application is complete before clicking submit. Thank you. Be ready for the experience of a lifetime!
Fr. Mark's e-mail