The 2018-2019 Spring Break Immersion Trips Application
*IMPORTANT* - Before you fill out the application, make sure you understand the following checklist:

(1) Complete this Google Form and submit it.

(2) Fill out, sign, and turn in the Parent Release and Student Commitment Form (attached later in the application).

(3) Submit a refundable deposit of $50 for the trip cost. Checks can be made out to "SLUH". Anyone who needs financial assistance for the trip should contact Mr. Stephen Deves ( We do not want financial barriers to prevent anyone from attending an Immersion Trip!

The deadline for this application is FRIDAY, OCTOBER 12. Since we have a lot of interest and a limited number of spaces, your application must be completed by that deadline. The application is only considered finished once you've completed all three steps above.

General Information
Last Name *
First Name *
Class *
Student Cell Phone Number *
There will be 3 Pre-Trip meetings where we will get to know one another and go over important information. They will start during the second semester, taking place on weekday evenings. These meetings are a required part of the experience. Are you committing to attend these pre-trip meetings? *
If you said "No," please indicate why:
Additionally, there will be a post-trip meeting as well, intended to help us reflect on our experiences. It is also a required part of the trip. Are you committing to attend this post-trip meeting? *
If you said "No," please indicate why:
The subsidized cost of the trip is $300 for Appalachia and Jerusalem Farm. It's $350 for Kino, Urban Challenge, and Honduras. Please select the option for payment below that you and your family are able to pay. *
Since Campus Ministry subsidizes a good portion of the trip costs to make it affordable for all, we also ask for donations from families that might want to support students who do need financial assistance. Would you be willing to contribute extra in order to help another student? If so, please indicate how much you'd like to contribute below. We deeply appreciate your generosity!
In order to complete your application, you must fill out and turn into Mr. Deves the Parent Release and Authorization Form:
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