Ukraine Service-Learning Trip Application

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Before filling out this application, please read the document "Ukraine Focus and Objectives" found here: nohcob.org/ukraine.
Application due Saturday, October 12th.
Phone/Video Interviews October 14th - 19th.
Confirmation of trip team October 20-21.
First team meeting October 26th, 1PM. Location Canton, OH TBD.

Full Name *

Address *

Cell Phone Number: *

E-mail Address: *

Birthdate *

YYYY

I am: *

A 2020 High School Graduate

Attending College

Employed

Other:

Required

If applicable, what is/was your college major?

I have read the document titled "Ukraine Focus and Objectives." *

Yes

Explain your reasons for wanting to participate on the service-learning team in Ukraine. *

Tell us something you've learned that has shaped your thinking about service and learning. *

Describe your past experience with interpersonal conflict. Give an example of a time when you had a conflict with another person and explain how that conflict was resolved. *

Describe your general physical condition, including any emotional or psychological conditions. (This information will be kept confidential.) *

Would you have any concerns with demanding physical activity that includes being on your feet for long hours at time, sleeping on a mattress on the floor, being responsible for heavy baggage, etc? *

Yes

How do you feel about making a commitment of 1-2 hours per week to be part of this team, starting soon and continuing through the trip dates? *

How might learning about another culture shape your thinking, beliefs, and actions in your everyday life? *

Describe any previous leadership experience and what you learned from it. *

Describe your experience and abilities to be a supportive team member and follower. *

Describe any specific experience you have working with children or teenagers. *

List 3 of your strengths. *

List 3 of your weaknesses. *

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