ILR Costa Rica-FUNDECOR Global Service Learning Program

Summer 2015

(Open to ILR undergraduate and MILR students who will be enrolled in ILR in fall 2015)

For inquiries: ILR, contact: Donna Ramil, Associate Director, ILR International Programs, Application deadline is Wednesday, March 18th, at 5pm. Email it nd drop-off 2 hard copies at Ives 117

Part 1- Applicant Information (please submit this page with the rest of your documents)

Please type your application.

Last Name: ______First Name: ______Middle Name: ______

CU Net ID: ______CUID: ______Class Year: ______GPA:______

Cell Phone Number: ______Home Phone Number: ______

Ithaca Address:______

Permanent Address:______

Are you currently in good standing with your college and the University? Yes ______No ______

If no, provide details in a separate sheet.

Do you have a valid passport? A valid passport has at least 2 blank pages & a minimum validity of 6 mos. (until December 2015) Yes ___ No ____ If yes, provide passport information.

Do you currently have SHIP health insurance? Yes ___ No ____

Passport Number:______Country:______Expiration Date:______

Date of Birth (month/day/year):______/______/______

Have you ever participated in an international service-learning trip before? No___ Yes___

If yes, provide details on a separate sheet.

Part 2- Resume & References

Please submit your current resume with your application. If you need assistance with your resume, please make an appointment with a career office. List two references with contact information (e-mail, relationship to student, telephone number during the day). One reference must be from an ILR professor, the other may be from a professor, advisor or work/volunteer supervisor who knows you well and can speak about your HR and/or service experience.

Part 3-Short Answers (maximum 5 pages, double spaced, for all of your answers)

1)Why are you interested in an international activity? (If you have been overseas, please be specific about what interests you while abroad; if you have not been abroad, what do you think will interest you?)

2)Why are you applying to the Costa Rica Global Service Learning Program?

3)Where have you traveled? Describe meeting a person while traveling who taught you something new or changed your mind about something you believed in.

4)What are your career goals and how will this experience relate to those goals?

5)List all of your HR-related courses (or courses that would benefit you while in Costa Rica).

6)Describe any HR work or internship experience that you have had (feel free to reference your resume for details).

7)Intermediate Spanish ability is required for the program. Describe your Spanish language ability in speaking, reading and writing. If you have studied Spanish, where and at what level?

8)What skill, quality, or experience would you bring to the ILR team and to the FUNDECOR placement?

9)What are your 3 goals that you would like to accomplish while in the program, and how do you plan to accomplish them?

10)Do you have any concerns about taking part in this program?

Part 4-Extracurricular Activities

Please list all of your on-campus affiliations (i.e. sports teams, student clubs, Greek life, and employment and off-campus affiliations, and volunteer positions, etc.).

______

______

Part 5-Signature

Are you currently, or have you ever been, subject to disciplinary action at Cornell? __ No __ Yes

If yes, please include an explanation of the circumstances on a separate sheet.

I agree to release my Judicial Administrator file and notes to Donna Ramil, Associate Director, ILR International Programs at the time of my application and prior to my departure abroad.

Name: ______Net ID: ______

Signature: ______Date: ______

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