Application for the International Summer Camp DEADLINE: June 1, 2008 Print page and send by mail (address at bottom of page) or press the submit button at end of form. Name: Nickname: Age of Applicant: Year in school/college of applicant: Home address: Phone: Cell phone of Applicant: Fax: Email: School or university where you are enrolled: Male Female Height Weight Parent name(s): and Address(es) Parent email(s): Parents Cell phone: Who should be called in event of an emergency? Telelphone number of the Emergancy contact: Will you need scholarship assistance? yes no If so, how much? The fee is $2,000. This includes transportation from THE AIRPORT, room and board, laundry, bus rentals, bike rental, and classes in cuisine and French. The fee is due BY MAY 1. French conversational skill: Poor Fair Fluent High School French years College French years Other training/time in Francophone country? Please address the following: a. What work and voluntary experiences? b. What leadership experiences? c. Skills and interests in which you feel proficient? d. How did you become interested in this program? Cut and Paste your answer into the box below or fill out on a separate piece of paper. Read Philip Hallie’s book, Lest Innocent Blood Be Shed (Harper & Row New York 1979). The book covers the story of one town’s fight against oppression during the wartime occupation of France. The faith, courage, and ideals that fueled that fight gave rise to a school, the College Cevenol, which has stood as a symbol of international understanding and cooperation ever since. After you have read the book, please write down 1-2 pages of your thoughts about it. Show that you are aware of what Cevenol represents, and that you are sensitive to the experiences and memories of the people you will meet in Le Chambon. SEND YOUR APPLICATION AND A PASSPORT-SIZED PHOTO TO: Jonathan and Susan Schrott 21 Fox Den Road, Mt. Kisco, NY 10549 TUITION PAYMENT: Send the $2,000 check payable to the AFCC to: Anne Burnham, AFCC Secretary 44 River St. Rehoboth, MA 02769-1314
Application for the International Summer Camp DEADLINE: June 1, 2008
Print page and send by mail (address at bottom of page) or press the submit button at end of form.
Name:
Nickname:
Age of Applicant:
Year in school/college of applicant:
Home address:
Phone:
Cell phone of Applicant:
Fax:
Email:
School or university where you are enrolled:
Male Female Height Weight
Parent name(s): and Address(es) Parent email(s): Parents Cell phone:
Who should be called in event of an emergency? Telelphone number of the Emergancy contact:
Will you need scholarship assistance? yes no If so, how much?
The fee is $2,000. This includes transportation from THE AIRPORT, room and board, laundry, bus rentals, bike rental, and classes in cuisine and French. The fee is due BY MAY 1.
French conversational skill: Poor Fair Fluent High School French years College French years Other training/time in Francophone country?
Please address the following:
a. What work and voluntary experiences? b. What leadership experiences? c. Skills and interests in which you feel proficient? d. How did you become interested in this program? Cut and Paste your answer into the box below or fill out on a separate piece of paper.
Read Philip Hallie’s book, Lest Innocent Blood Be Shed (Harper & Row New York 1979). The book covers the story of one town’s fight against oppression during the wartime occupation of France. The faith, courage, and ideals that fueled that fight gave rise to a school, the College Cevenol, which has stood as a symbol of international understanding and cooperation ever since. After you have read the book, please write down 1-2 pages of your thoughts about it. Show that you are aware of what Cevenol represents, and that you are sensitive to the experiences and memories of the people you will meet in Le Chambon.
SEND YOUR APPLICATION AND A PASSPORT-SIZED PHOTO TO: Jonathan and Susan Schrott 21 Fox Den Road, Mt. Kisco, NY 10549 TUITION PAYMENT: Send the $2,000 check payable to the AFCC to: Anne Burnham, AFCC Secretary 44 River St. Rehoboth, MA 02769-1314
