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APPLICATION

USF Summer Service-Learning — Uganda or India

Thank you for applying to the program! We appreciate your interest in this service-learning experience exploring sustainable development work in Uganda and India. 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.  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.


I would like to apply for: 

                                                      
 
How did you hear about this program?

 

 

I. Personal Information:

Last Name:   
First Name:  
Gender:  
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] Select a Date Delete the Date
Departure City:  


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 this country 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 you learn and put it into practice when you return?


III. Skills and Qualifications

The following information will be presented to FSD's partner organizations to finalize the details of your program.  If you choose to copy and paste your resume instead of completing this section, it must include all the information requested below.

Education

Undergraduate Education
University:   
Degree:   
Year:  
Major:  
Minor:   
Current
Cumulative GPA:
 


Relevant Coursework

Please list college-level courses (including service-learning courses), completed or in progress, that relate to the Sarlo Scholars program.

 

Course Title:  
Instructor:  
Semester/Year:  
Grade:  

 

Course Title:  
Instructor:  
Semester/Year:  
Grade:  

 

Course Title:  
Instructor:  
Semester/Year:  
Grade:  

 

Course Title:  
Instructor:  
Semester/Year:  
Grade:  


Relevant Work Experience

Please list relevant professional experience. This may include jobs, professional engagements, internships, trainings. Please only list as many experiences as are relevant.
 
Dates and Duration:   
Company/Organization:  
Location:  
Role:  
Description of responsibilities and skills you applied and/or developed through this experience:

Language skills

   

Dates and Duration:   
Company/Organization:  
Location:  
Role:  

Description of responsibilities and skills you applied and/or developed through this experience:

 

 

Dates and Duration:  
Company/Organization:  
Location:  
Role:  

Description of responsibilities and skills you applied and/or developed through this experience:

 


Relevant Co-Curricular Experience

Please list relevant co-curricular experience. This may include participation in clubs and organizations, volunteering. Please only list as many experiences as are relevant.

 

Dates and Duration:
Company/Organization:
Location:
Role:

Description of responsibilities and skills you applied and/or developed through this experience:

 

 

Dates and Duration:
Company/Organization:
Location:
Role:

Description of responsibilities and skills you applied and/or developed through this experience:

 

 

Dates and Duration:
Company/Organization:
Location:
Role:

Description of responsibilities and skills you applied and/or developed through this experience:

 

 


 

Relevant Travel Experience

Please list relevant travel experience. This may include international and cross-cultural experience. Please only list as many experiences as are relevant.

 

Dates and Duration:
Organizer:
Location:

Description of this experience and the skills you applied and/or developed:

 

 

Dates and Duration:
Organizer:
Location:

Description of this experience and the skills you applied and/or developed:

 


Please describe your language skills.  Be as objective as possible, and please do not over-estimate your skill level.  If you are having difficulty determining your language level, think about what level you would be at if you were caught off guard and asked to speak Swahili with zero preparation.  Language experience is not required for this program, but please indicate any foreign languages spoken and level of competency on a scale of 1-5:


Key:  1 = No ability   2 = Basic   3 = Conversational/Intermediate   4 = Advanced   5 = Fluent
 
Language 1:   
Comprehension  
Reading:  
Oral:  
Ability  
Written:  
Spoken:  
Language 2:  
Comprehension  
Reading:  
Oral:  
Ability  
Written:  
Spoken:  
Language 3:  
Comprehension  
Reading:  
Oral:  
Ability  
Written:  
Spoken:  
Additional Comments  
Please add additional comments about your language abilities and/or make a note if you have plans to take language courses before your program: 
 

IV. Placement Interest

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.

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

 Health
 Education
 Youth
 Micro-Enterprise
 Women's Empowerment
 Human Rights
 Environment
 Community Development

Focus
Please identify the sub-issue(s) within this field that you would like to focus on.

 

Activities
Please indicate and list in order the types of activities in which you would like to be involved (1-highest 10-lowest).

 Research
 Educational Workshops
 Capacity-Building Workshops
 Direct Service
 Grant Writing
 Outreach
 Business Development
 Infrastructure Development
 Organizational Development
 Other:


 

Host organization preference

Please list specific host organizations you are interested in working with here. We will take your preferences into consideration when selecting your host organization. Organization descriptions can be found at http://www.fsdinternational.org/opportunities.


 


V. 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.

Reference I

Name of Referee       
Title/Relation     
Months/Yrs of acquaintance  
Primary Phone  
Email  

Reference II

Name of Referee    
Title/Relation  
Months/Years of Acquaintance  
Primary Phone  
Email  


In addition to indicating their contact information, please have ONE referee submit a recommendation form. Provide them with the following link (please copy and paste): www.usfca.edu/mccarthycenter/referee_form

Please ensure that this recommendation be submitted BY OCTOBER 22, 2012.

Indicate which referee will provide the letter of recommendation:

 


 

VI. Interview Availability

Should you be selected for an interview, please list your availability between the hours of 9am-5pm the week of October 22-26 below. Interviews are no longer than 30 minutes.

Monday, October 22:  
Tuesday, October 23:  
Wednesday, October 24:  
Thursday, October 25:  
Friday, October 26:  

IMPORTANT: Once you hit the “submit” button, a message should appear confirming that your application was submitted successfully. If you do not see this message, please either try to resubmit your application or contact us to make sure we did receive it.