APPLICATION

Thank you for applying to the program! We appreciate your interest in this service-learning experience exploring sustainable development work in Bolivia. This opportunity is a collaboration between the USF Leo T. McCarthy Center for Public Service and the Common Good and Foundation for Sustainable Development (FSD). 

During the Spring 2013 semester, selected Scholars will engage in related coursework and instruction at USF.  They will then travel to Uganda or India to live with host families and work in community-based organizations for approximately ten weeks. The group will return mid-August and complete subsequent instruction at USF during the Fall 2013 semester. Upon successful completion of the program and its requirements, participants will earn 10 units of USF credit, including credit in service-learning.

Required eligibility criteria are as follows:

• Current sophomore or junior status (i.e., rising junior or senior in summer 2013).
• Prior community service and/or service-learning experience
• Ability to enroll in the Spring 2013 Sarlo Scholars seminar, MWF from 2:15-3:20 p.m.  You will also enroll in a 2-unit History course, and a Fall 2013 course (date and time TBD, based on participants’ availability).  IF YOU CANNOT ENROLL IN THESE COURSES, YOU CANNOT PARTICIPATE IN THE PROGRAM-- NO EXCEPTIONS!

Each participant selected will be charged a nonrefundable program fee of $350 upon registration for the Spring seminar, to secure his or her place in the program. You will also be responsible for visa and immunization expenses. The remaining costs - flights, meals, lodging, program fees and summer credits (tuition for two units) - are fully funded.

Instructions

Please complete and submit this application by October 15, 2012; a portion of this application is in Spanish.  We will not process your application if any of the requested information is missing. Please ensure that we receive your recommendation letter by the application deadline.  Applications will be reviewed by a selection committee representing USF and FSD. Interviews will be conducted the week of October 22.

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i. personal information: 

Last Name:
First Name:
Gender:	(Select) Male Female Decline to State
DOB:
Current Address:
City:
State:
Zip:
Permanent Address:
City:
State:
Zip:
Current Email (no "usfca.edu" addresses)*:
Secondary Email:
Current Phone:
Permanent Phone:
Passport Country:
Passport Number:
Expiration Date:	[None]
Departure City:

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ii. statement of purpose

Please use the space below to address the following questions.  Be as specific and concrete as possible, and please proofread.  Statements will be judgment according to both content and writing quality. 

1. How will this service-learning experience contribute to your personal, professional and academic development?
2. Why are you interested in Bolivia in particular?
3. In your opinion, what is the most pressing social issue in the region?
4. How do you envision yourself engaging in the various communities you will be a part of (host family, organization, etc.)?
5. How will you take what your learn and put it into practice when you return?

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iii. curriculum vitae

Educación

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iv. preferencias e intereses

The preferences you indicate below will be used to identify the most appropriate host organization and project work for you. While we encourage flexibility and a willingness to support your host organization's needs and priorities, at this stage it is to your benefit to be as clear as possible about your interests and priorities.  Please keep in mind the time frame available to you, as well as your language level.

Area de interés
Rank in order of preference the issues that apply (1-highest 8-lowest):

 Salud
 Educación
 Adolescentes y Niños
 Micro-Empresas
 Derechos de la Mujer
 Ambiente
 Desarrollo de la Comunidad

Enfoque
Please indicate the sub-issue(s) within this field that you would like to focus on:

Actividades
Please indicate and rank the types of activities in which you would like to be involved:

 Investigación
 Talleres Educacionales
 Capacitaciones
 Servicio Directo
 Solicitudes de Subvención (Grant Writing)
 Publicidad y Mercadeo
 Desarrollo de Negocio
 Infraestructura - Construcción
 Desarrollo Interno de la ONG
 Otro:

Detalles
Please provide specific details about what you would like to do.

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vi. professional or academic reference:

Please provide the contact information for one professional or academic reference who is familiar with your skills and abilities. This could be a colleague, a professor or an employer. Please do NOT list a family member or peer/friend.

Personal Reference I

Personal Reference II

Should you be selected for an interview, please list your availability between the hours of 9am-5pm the week of October 24-28 below. Interviews are no longer than 30 minutes.