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Pre-Departure Program Survey
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What is your name?
First and last names, please
Age
Gender
Clear selection
Race
Ethnicity
Location of your Amizade site
School/university/club/organization with whom you are traveling
I identify politically as:
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I come from a:
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I identify with being part of a global community.
Clear selection
I understand how actions in my local community may affect others around the world.
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I am aware of actions I can take to improve the global community.
Clear selection
I believe that everyone has a responsibility to contribute to a community.
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I am comfortable as a minority in a new environment.
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I would consider myself materialistic.
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I find ways to decrease my natural resource consumption in my daily life.
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My expenses are higher than my income.
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I have friends from many different cultural/ethnic backgrounds.
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I am often around people who are not like me.
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I have been involved with projects that better others' communities and/or my own.
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I have been a volunteer on many occasions.
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I am well versed in global affairs.
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How often: Attend community meetings, celebrations or activities.
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How often: Join organizations that support issues that are important to you.
Clear selection
How often: Write or email newspapers or organizations to voice your views on an issue.
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How often: Stay updated on international news.
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How often: Vote.
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How often: Discuss international issues with family members or friends.
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How often: Learn as much as possible about candidates or ballot questions before voting.
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I plan to continue my formal education until:
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I plan to pursue a job in the following sector:
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I plan to live:
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