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ISL Application

Before filling out the application form below, you will need to decide on the trip that would best fit your schedule needs. Go to our 2010-2011 Team Schedule and Costs for dates, destinations, costs, as well as the deposit deadline dates.

You can check out the different countries to help you make your decision. In addition to that source, we’ll be glad to answer any other questions you may have via:

  • Phone – (816) 767-0481 between 8:00am and 4:30pm Central time
  • Email: info@islonline.org
  • You may also be interested in visiting with one of our veteran students for first hand information, just let us know.

Please carefully read this information to ensure a smooth experience for both you and ISL:

  1. Please see the Frequently Asked Questions before submitting an application (if you haven’t already) so that you have a better understanding of how ISL works.
  2. You can use the financial sponsorship program available through Good Samaritan Missions. You can find out how the sponsorship program works by visiting Funding Your Trip which offers information on fundraising, then go to Sponsorship Program – How it Works.
  3. For details on Withdrawal and Refunds please read our Withdrawal and Refund Policy.
  4. A total of $285 is due with your application. This includes an $85 non-refundable application fee (not included in the trip cost) and a $200 non-refundable trip deposit toward the cost of your trip. In the unlikely event your trip is canceled by International Service Learning, you will be given the option of moving to another team or a refund of your $200 deposit. You will be asked to make a choice of payment methods for the $285 after the successful completion of your application.
  5. A $750 installment payment will be due when the team is confirmed as “GO”. At this time you will be requested to send in your first installment of $750 toward your trip cost.
  6. Final payment is due 25 days prior to your trip departure. You will receive an invoice that will include sponsorship donations if you applied for sponsorship with Good Samaritan Missions.
  7. It is strongly suggested that you purchase medical/trip cancellation insurance as there are times when weather, late flights, airline problems or emergencies cause a cancellation and the only way that you will be able to secure a refund is through the insurance you purchase.
  8. (optional) You may download the app in PDF form and mail it to us with the $285 application fee to: International Service Learning; Processing Center; 2209 Elma St.; Kansas City, MO 64124

Red stars red star denote required fields.

Trip information
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  4. Program choice




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Your current contact info
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  2. (valid email required)
  3. (valid email required)
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Your personal info
  1. Gender

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Emergency contact
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  2. (valid email required)
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Academic info
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  2. (required)
  3. Academic level

Good Samaritan Missions (GSM) Sponsorship
Participation agreement
  1. I voluntarily and without reservation on behalf of myself, my heirs and my estate, release and discharge absolutely and forever, ISL, or any of its agents or program partners, including all associations with colleges, universities, and religious organizations, and waive all claims, demands, of whatever nature for any injury, loss, damage, accident, delay, actions or cause of action, known or unknown, which I now have or may acquire in the future, irregularity or expense arising out of or directly or indirectly relating to my participation in an ISL program, and arising from the use of any vehicle or services, strikes, war, acts or terrorism, weather, sickness, quarantine, government, steamship, airline, railroad, buses, transporting company, firm, individual, or agency. I understand the terms of this Release and the consequences of it and acknowledge that I have not executed it under duress. I agree this is an irrefutable release.

    I grant ISL, or one of its agents, full authority to take whatever action they feel is warranted regarding my health and safety and that they may arrange medical treatment for me at my expense and that if deemed necessary by the ISL personnel and/or local medical authorities, I will be sent back to the United States at my own expense for further medical treatment. I also understand all fees paid to ISL are non-refundable under all circumstances and I will secure the proper travel cancellation insurance If I desire refundability.

    I understand this is a supervised program and agree to uphold individual and group standards set forth by ISL personnel. These standards include:
    • No girls in boys sleeping area and visa versa, at anytime.
    • Curfew will be in effect, for safety reasons.
    • No trip extensions or on-site visits by friends/family not previously planned/authorized by ISL.
    • Vegetarians or others with special diet needs need to notify ISL in writing and bring their necessary dietary supplements.
    • I understand any excess baggage exceeding stated personal limits will be donated to local charities/ministries.
    • I understand that it is my responsibility to secure all travel related insurance.
    • If I am deemed incompatible with the interest of the group and if my enrollment is terminated, no refunds can be expected and returning to the United States is at my own expense. A verbal warning will be provided prior to expulsion from the program. A written report will be provided later. At the discretion of ISL, students’ performance may be evaluated at the conclusion of the program and such evaluation will be the basis for ISL response to any requests for recommendation by students’ school, future (graduate) school/employer.
    • I agree to split costs with ISL in seeking a licensed mediator in the event there is an irresolvable conflict of any kind with ISL
    Alcohol, Tobacco, and Drug Policy:
    • Illegal drugs are absolutely PROHIBITED at all times.
    • Use of alcoholic beverages in service areas, housing, and transportation to and from service areas is PROHIBITED.
    • No alcoholic consumption or smoking at any time without permission of ISL staff.
    • Alcohol abuse causing difficulty in the service and quality of the team is grounds for dismissal.
    I understand this is not a tourist-type program, but is an international humanitarian team effort serving the poor in sometimes remote and difficult circumstances which on occasion may include basic-needs-only housing, no hot water and travel over long distances, both land and water, in safe but basic transportation. I understand that continual complaint is a basis for dismissal from the program.

    I grant ISL permission to reproduce photos, movies, or sound recordings of me taken during the period of time that I am participating in this program, including written statements I may make concerning this program. I also agree to not return to any service site or housing facility visited on this trip without the specific written permission of International Service Learning.
  3. (required)
  6. How do you plan on paying the application fee and deposit?
 

cforms contact form by delicious:days

If you do not receive a response email immediately please call the office at 816-767-0481

A $285 non-refundable application fee and trip deposit is due with this application. (Note: the $85 application fee is NOT included in the trip cost.) After successfully submitting the application, you will be taken to a page where you can pay the application fee via an on-line check, mail-in check or PayPal (Credit Card).