sustainibility school application form

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  • 8/12/2019 Sustainibility School Application Form

    1/2

    Application Form

    InternationalSustainability School 2014

    Sustainability School is different - it is an extraordinary journey, a self exploratory trek, askill building workshop, a hub to find likeminded lifetime friends, an opportunity to connect to nature, an

    experience with communities and a place to ignite ideas and inspiration. The program revolves around a 12

    day experience, designed to experience grassroot realities as well as learn concrete skills from experts whilealso discovering themselves. This is a physically, mentally and socially engaging program where

    participants enrich themselves, the communities they visit and each other.

    rogram !ate" #une 1$th% #une 2&th, 2'1(

    )pplication !eadline" )pril 1$th, 2'1(

    *cholarship +onfirmation" )pril 'th, 2'1(

    Please read the instructions carefully:

    1. )pplication deadline" April 15th, 2014

    2. lease be prepared for the physical, mental and social challenge that you will enjoy during the program.

    . *ave and name you file as"

    countryyourlastname.doc/ 0example" +anada *herpa.doc

    (. mail completed form to info3onceinlife.orgwith the subject name *ustainability 2'1($. )ny 4uestions should be addressed to 5ands-6n through email.

    BACKGR!"# $"%R&A'$"

    7ast name"

    8irst name"

    9iddle name"

    :ender" !ate of birth"+ountry of ;irth"

    +ountry of nstitution"

    (&P)+&("'*)!"'((R)(A#(R-.$P .$-'R+

    *ubmit the completed application form to Kala/ati Rai atinfoonceinlifeor3y)pril 1$th 0Tuesday, 2'1(

    mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]
  • 8/12/2019 Sustainibility School Application Form

    2/2

    Application Form

    InternationalSustainability School 2014

    1 Position"

    =ame of the 6rgani?ation"

    !uration"

    2 Position"

    =ame of the 6rgani?ation"

    !uration"

    $"'(R(-' A"# C&&$'&("'

    lease describe why you are interested in this trip. 5ow will you benefit from it@ 5ow will others benefit from it@

    0not more than 2'' words

    %$'"(--

    !o you have any sight, hearing, respiratory, asthma, physical handicap, impairment, mental andAor health related

    problems that would limit the amount or type of physical activity that you will be involved during the program

    period@

    !o you smoke@ Bes =o !o you drink alcohol@ Bes =o

    !o you play any sports@ Bes =o

    PAR'$C$PA'$" %((

    The total cost per individual to attend *ustainability *chool 2'1( is !-# 00. Cill you re4uire a scholarship@ Bes

    =o

    Chat percentage of the total cost are you or your organi?ation able to cover@

    >n percentage" >n D* !ollar"

    Thank you for your effort!

    *ubmit the completed application form to Kala/ati Rai atinfoonceinlifeor3y)pril 1$th 0Tuesday, 2'1(

    mailto:[email protected]:[email protected]:[email protected]