INTERNATIONAL FIELD EXPERIENCE to BELIZE (IFE) Spring, Watson College of Education (WCE) University of North Carolina Wilmington

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INTERNATIONAL FIELD EXPERIENCE to BELIZE (IFE) Spring, 2015 Watson College of Education (WCE) University of North Carolina Wilmington Please complete this application for participation in the IFE to Belize Program. Once you have submitted an application based upon the submission process below, the committee will review your submissions and invite selected candidates for an interview. The WCE international field experience committee will use predetermined program requirements to identify appropriate teacher candidates and invite each to interview for this highly selective program. The committee plans to have only one application deadline and only one acceptance date, but the committee reserves the right to re-open the field experience applications depending upon availability of quality teacher candidates. The application deadline is Friday, September 12 th at midnight. Any applications received after the deadline will only be considered if program availability exists. Upon review of field experience applications, the committee will select, notify and invite teacher candidates to interview. Those invitations to schedule an interview will be sent to each student s e-mail address on Wednesday, September 17 th by 5:00 PM. Each interviewed student will be notified of the committee s decision no later than Friday, October 3 rd at 5:00 PM. If accepted, each student will be required to make a $500 NON-REFUNDABLE deposit no later than Friday, October 24 th. You will also be required to attend mandatory orientation meetings during both Fall, 2014 and Spring, 2015 semesters. Check the webpage for any and all meetings and/or announcements (http://people.uncw.edu/kubaskod/international.html). Submit a completed application in electronic copy to: Dr. Dennis S. Kubasko kubaskod@uncw.edu Department of ITFSE Watson College of Education If you have any questions or require further information, please contact Dr. Dennis Kubasko at 962-3168 or kubaskod@uncw.edu.

Please type or write clearly: 1. Name: 2. ID : 3. Gender: 4. Date of Birth / / 5. Country of Citizenship: 6. UNCW Residency Status: In-state Out-of-state 7. Local address: 8. Email address: 9. Phone (local): Phone (Permanent): 10. Person (s) to contact in case of emergency: Name (s): Relationship to you: Address: Phone: (with area code):

Email: 11. Do you receive federal or state loans? Yes No 12. Do you receive UNCW financial aid? Yes No 13. Do you receive tuition remission? Yes No 14. Cumulative GPA: 15. Major field: Minor field: 16. Have you traveled/lived internationally? If so, where? 17. Recommendation(s): Please list the name of two or more UNCW faculty members who are willing to comment on your potential for success in this program. We will be making contact with these people. 18. This program involves some rigorous physical conditions (e.g., heat, humidity, hiking on uneven ground, long bus rides, etc.). Do you have any health conditions that might prevent you from full participation? Do you have any dietary restrictions? (NOTE: We never make acceptance decisions on the basis of physical ability. This information is for the committee to plan for necessary accommodations and modifications.)

19. In programs such as this, there are a number of challenges, including: a. living and traveling as a group, and b. adapting to the local culture. What are your strengths that will help you overcome these challenges? What are your areas in need of improvement that you believe you may have to overcome to get the most out of this field experience? Please address each question. 20. The committee believes our past program success is due primarily to establishing reciprocal relationships (both UNCW students AND the Belizean community benefit from our work). What do you intend to give back to the San Pedro community as a participant in this field experience? How will your participation in the field experience benefit the community where you will be living and working for five + weeks?

21. Please attach a typed personal statement outlining your reasons for wanting to participate in this program. Please address the following: a. Describe your academic goals b. Describe your personal goals. c. What are expectations do you have of yourself? d. What expectations do you have of your field experience professors? e. Describe any past travel experiences that are related to this program (international or national).