Mountain Resilience Gap Semester 2022 Application

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Thank you for your interest in Western Colorado University's Fall 2022 Mountain Resilience Gap Semester.

Please take a few minutes to fill out this application form. Once we've reviewed your responses, we'll be in touch with next steps to secure your space. Please be sure you've reviewed program details on this page: https://western.edu/academics/extended-studies/mountain-resilience-semester/

Fall 2022 final details are still being arranged, but courses and topics will be similar to those listed in the link above. Early applications are encouraged to hold your place!

*Students (not parents/guardians) are expected to complete this application.*

Student email *

Students (not parents/guardians) are expected to complete this application.

Are you the student applying or student's parent? * *

Students (not parents/guardians) are expected to complete this application.

I am the student!

I am the student's parent or guardian

Student First Name *

Student Last Name *

Student Preferred Name

Pronouns *

she/her, he/him, they/them, or something else

Student phone number *

Text Op-In *

Is it ok to text you on your phone if we have follow up questions?

Yes. It is ok to text me.

No, Thank You. Please call or email

Street Address *

Mailing address (street or PO Box)

City *

State *

Zip Code *

Country *

Date of Birth *

YYYY

Primary Language Spoken at Home *

What is your race/ethnicity *

Please check all that apply

African

Arab/Arab American/Middle Eastern

Asian/Asian American

Latino/a/x or Hispanic

Native American/Indigenous

Native Hawaiian or Pacific Islander

White

Prefer not to disclose

Other:

Required

Gender *

Female

Male

Prefer not to say

Other:

How did you hear about the Mountain Resilience Semester? *

A Gap Year advisor, coach, or counselor

Teen Life

Gap Year Association

Social Media

From a Teacher or Professor

From a Friend

Other:

Please elaborate on how you first heard about the Mountain Resilience Semester. If you heard from a Gap counselor or coach, tell us their name? If you first saw it on the internet, which page did you see it on? *

Have you reviewed the Essential Eligibility Criteria? Do you understand the criteria and agree to the policies outlined? *

You can see that criteria on this page: https://www.centerformountaintransitions.org/mrs-essential-eligibility-criteria

I've reviewed the criteria page linked above. I understand the criteria and enthusiastically agree to abide by all policies

I have not reviewed the criteria page.

I have reviewed the criteria page but can't commit to living up to the guidelines or expectations.

Why are you interested in applying for this program? *

Select all that apply.

I'm deeply passionate about the environment, sustainability, and climate justice.

I am seeking to connect with a small group of awesome fellow students.

I love the outdoors and I can't wait to explore the various mountain regions of Colorado.

I'm interested in finding my own purpose in this world and learning more about options to contribute positively to my local and global communities as a curious, compassionate, and caring global citizen.

I'm excited about the opportunity to earn 16 credits.

I want to live and learn with a group of like-minded individuals.

It sounds awesome!

I want to step out of my comfort zone.

I want to participate in meaningful and intentional service learning.

I really want to get out of my house and away from zoom.

I want to build leadership skills.

I want to expand my outdoor skills.

I'm not really sure. It just sounds great.

Other:

Required

Please briefly describe any group travel and outdoor experiences that you have had previously *

How will participating in this program help you make a difference in your community? *

What do you bring (unique perspective, experience, insights, etc.) to share with the Mountain Resilience Semester program community? *

When did you graduate from high school? *

YYYY

From which high school did you graduate? *

School name, City, State, Country (if applicable)

How many years of college/university have you completed? *

Which college/university(ies) have you attended and when?

Please list 2-3 academic or professional references who can comment on your candidacy for this program. *

Include name, email and phone number for each reference along with a brief description of your relationship to each person listed.

Any cultural needs?

Do you have particular needs related to culture and faith, whether that is wearing particular attire, prayer, or other needs?

What questions do you have about the program?

List them out here and we'll be in touch with answers.

Anything else you would like to share?

Submit

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