Name & Address

Emergency Contact Information

Health or dietary concerns

Academic Interests *

Extracurricular activities *

Work or volunteer experience *

Letter of Reference (pastor, professor, or work supervisor) *

Please include name / address / telephone number / nature of relationship.

Paste text below, or mail or fax a paper copy to MCC Manitoba.

Please answer the following questions to the best of your ability

1. Describe any "cross-cultural" experiences that you have had (local and/or international). What would you suggest are two qualities a person should have in order for cross-cultural experiences to be positive? *
2. What do you hope to learn and gain through participating in this experience? How does it fit into your current life journey? How will your participation in this service and learning opportunity benefit others (i.e. friends, family, church, and community)? *
3. Upon return to Canada, participants will have the opportunity to share with others about the experience in Colombia. In what ways will you as an individual share your experiences/learning upon your return? What ideas do you have for ways the group as a whole, possibly together with the Colombian participants, could share the experience with others upon return to Canada? *

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