WINTERIM INTERNATIONAL COURSE APPLICATION

1. Please complete all sections of this application and submit no later than Friday, October 6th at 5pm. Early submissions are welcome, though this is NOT a first come, first served application period!

2. If you are applying for flexible tuition to support your Winterim endeavor, please submit that application by Friday, Ocotober 6th at 5pm.

3. If you are interested in more than one course, you may list up to 3 choices. You will need to provide a supporting essay for each trip to which you'd like to apply.

4. When you submit your registration, your parent/guardian will be emailed a confirmation of your choices. YOUR PARENT/GUARDIAN MUST RETURN THE EMAIL WITH HIS/HER ELECTRONIC SIGNATURE, INDICATING APPROVAL OF YOUR WINTERIM COURSE CHOICES. In order for your application to be considered as complete, both your application and your parent/guardian approval must be submitted BEFORE Friday, October 6th at 5pm.

Full first name AS IT APPEARS ON YOUR PASSPORT *

Full middle names AS THEY APPEAR ON YOUR PASSPORT (if none, write "none") *

Last Name AS IT APPEARS ON YOUR PASSPORT *

Your school email address *

Your grade in the current 2023 - 2024 school year: *

Your parent or legal guardian's email address *

Your date of birth (DAY/ MONTH / YEAR ) * +

Of what country are you a citizen? *

From which country is your passport issued? *

Passport number (If you are in the process of renewing or applying for a passport, please note that here.) *

Passport expiration date (Please note: Your passport expiration date must be at least 6 months after your date of return from your Winterim trip.) * +

Please list all previous Winterim courses in which you have participated, as well as the school year of that Winterim. If you have not participated in a Winterim, write NA. *

Please answer any THREE of the following five questions.

1. Lots of teachers talk about how important collaboration is. How would you define collaboration?

2. Describe a strategy you have used to help others feel included.

3. Please share a time when you learned something surprising about someone else. What made that possible?

4. How do you best learn new things? What shifts do you make to enable this or make this possible?

5. How do you react when something becomes difficult? Describe a time when you worked through something that challenged you.

Winterim Choices

First choice: *

Please answer in a brief response: Why are you interested in this trip? *

Second choice:

Please answer in a brief response: Why are you interested in this trip?

Third choice:

Please answer in a brief response: Why are you interested in this trip?

Please use this space to share any other information that you feel is relevant.