ISL Application for Trinidad/Tobago

Program Information

The International Service Learning Program is an interdisciplinary program, open to UofL students from all majors. In addition to the program fee listed below (does not include tuition), students are required to maintain at least a 2.5 GPA, enroll in a discipline-specific (3 credit hour) academic course and attend weekly pre-departure orientation sessions.

Application Process

Submit on-line application
Submit an academic reference - http://louisville.edu/student/form/academicreference

Academic Disciplines include:

Communications
Education
Health and Sport Sciences (HSS)

Program Fees

$2,475

Please note that the class fees listed above are due at the beginning of the Spring semester 2011 - when tuition is due. We currently do not have any scholarship funds available for assistance.

Priority Deadline for Application is December 20, 2010

General Information

Please Select One of the Following Participation Options (Required)

Tinidad/Tobago,West Indies (May 20-28, 2011)

Name:

Student ID #:

Your E-Mail Address (Required)

Gender:

Male
Female

Birth Date:

Land Phone #:

Cell Phone #:

Citizen of:

Ethnicity

Address1

City:

Address2

State:

Zip Code:

Status

Status Other:

Do you have a current passport?

Yes
No

If so, what is the expiration date?

/ /

Please List the Languages Spoken and Level of Proficiency for Each

Extracurricular Activities

International Experience, Study or Travel - Please lists places, purpose, and dates.

What do you expect to learn by participating in the ISL Program?

How did you learn about ISL?

Why Are You Interested in the International Service Learning Program?

Define Service Learning. What Does it Mean to You?

Please Describe Previous Leadership, Travel and/or Service Experiences that May be Similar to the ISL Program.

Have you Ever Been Charged or Convicted of a Crime? Please Explain.

Do You Have any Medical or Psychological Condition That Would Affect Your Participation in the program? Please Explain

Authorization (Required)

I authorize the University of Louisville International Service Learning Program staff to access my educational and financial records maintained by the University of Louisville or other intuitions I have attended and to share those records with the IISL Program Coordinators as needed.

Certificate (Required)

I certify that the information I provided on this Application is correct and agree to notify the ISL Program if there is a change in circumstances which might compromise my success in participating in the ISL Program.

Waiver (Required)

Under the provisions of the Family Educational Rights and Privacy Act of 1974, I waive my right of access to my ISL Academic Reference

Your completed application and one academic reference must be submitted by December 20, 2010

Direct questions to islp@louisville.edu

Please select the "Submit Application" button now to send your application to us. A copy of the application will be sent to the email address provided in the application.

ISL Application for Trinidad/Tobago

Priority Deadline for Application is December 20, 2010

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