Application Form

International Sustainability School 2014

Sustainability School
is different - it is an extraordinary journey, a self exploratory trek, a skill 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 while also discovering themselves. This is a physically, mentally and socially engaging program where participants enrich themselves, the communities they visit and each other. rogram !ate" )pplication !eadline" *cholarship +onfirmation" #une 1$th % #une 2&th, 2'1( )pril 1$th, 2'1( )pril ,'th, 2'1(

Please read the instructions carefully:

1. 2. ,. (. $. )pplication deadline" April 15th, 2014 lease be prepared for the physical, mental and social challenge that you will enjoy during the program. *ave and name you file as" -country.yourlastname.doc/ 0example" +anada. *herpa.doc1 2mail completed form to info3onceinlife.org with 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" +ountry of ;irth" +ountry of <esidence" )ddress" assport =umber" !ate of birth"

2-mail" 8acebook )ddress" C!RR("' CC!PA'$ ": >nstitution"

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*ubmit the completed application form to Kala/ati Rai at info0onceinlife1or2 3y )pril 1$th 0Tuesday1, 2'1(

Application Form

International Sustainability School 2014

11 Position" =ame of the 6rgani?ation" !uration"

21 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'' words1

%$'"(-!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 Bes =o

!o you drink alcohol@

Bes

=o

!o you play any sports@

PAR'$C$PA'$ " %(( The total cost per individual to attend *ustainability *chool 2'1( is !-# 400. Cill you re4uire a scholarship@ =o Chat percentage of the total cost are you or your organi?ation able to cover@ >n percentage" >n D* !ollar" Bes

Thank you for your effort!

*ubmit the completed application form to Kala/ati Rai at info0onceinlife1or2 3y )pril 1$th 0Tuesday1, 2'1(