St. Sebastian's Delegate Application 2018
“Every journey of a thousand miles begins with….. paperwork?”
So it seems and this journey, alas, is no different...it just involves a little less paper.

Please note the following instructions for completing the delegate application:

Fill out the following form completely. Once finished, the form will be submitted to the SHARE Delegation Coordinator and the US Organizer.

Also be sure to print, sign, and date Liability Waiver (all delegates) and Parent Permission Form (delegates under 18 years of age only) found on the SHARE Delegate Application page. Give these forms, along with a copy of the photo page of your valid passport, to your US Organizer.

Email address *
Título sin título
Delegate Information
Name *
Your answer
Gender *
Address *
Street Address, City, State, Zip Code
Your answer
Primary Phone Number *
Your answer
School Email Address *
Your answer
Personal Email Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth *
Your answer
Citizenship *
Your answer
Passport Number *
Your answer
Passport Expiration Date *
MM
/
DD
/
YYYY
What is your level of Spanish comprehension/verbal skills? *
Your answer
Emergency Contact (if under 18, this should be your parent/guardian)
Name *
Your answer
Relationship to applicant *
Your answer
Address *
Street Address, City, State, Zip Code
Your answer
Primary Phone Number *
Your answer
Additional Phone Numbers
Your answer
Medical and Health Questionnaire
Do you have any of the following dietary restrictions? *
Required
Do you have any food allergies? *
If yes, please list...
Your answer
List all medications you are currently taking *
Your answer
El Salvador is a poor country. Living conditions during your stay may include: a basic diet of beans, rice and tortillas, a hot and humid climate, rough roads and hiking, and primitive toilet facilities, especially when in the countryside. *
In light of these conditions, please assess your physical condition. Indicate any disabilities, allergies, medical or emotional conditions you have that may affect your ability to participate in group activities.
Your answer
A typical, moderate delegation experience will include a small amount of physical exertion; ie, walking uphill for 10-15 minutes across uneven terrain in high heat and high humidity. Itineraries can be adjusted to accommodate the physical capabilities of the delegates. Considering these conditions, please mark the statement that best applies to you: *
Required
Why do you want to participate in a SHARE Delegation in El Salvador? *
Your answer
On a scale of 1(not at all) to 10(very well) how well do you feel you know the history and current situation in El Salvador? *
Explain your experience/knowledge:
Your answer
Do you have any special gifts, talents or abilities that you would like to share now, during the trip or later? *
Your answer
What is your understanding of solidarity and accompaniment? *
Your answer
How do you deal with being in uncomfortable situations that you have little control over? *
Your answer
Describe previous experiences you have had confronting injustices and sharp levels of poverty. *
Your answer
What is your relationship to the group you’re traveling with? How well do you know, or how comfortable do you feel around the other members of the group? *
Your answer
Thank you for being part of SHARE El Salvador Delegations!
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