Catholic Worldview Fellowship 2020 Application 1 Personal Information2 Application Form3 Medical Information and Legal Agreements Basic InformationName:*Please include your full name as it appears on your passport. First Middle Last Email:* Enter Email Confirm Email Phone:*Additional InformationGender*MaleFemaleDate of Birth:* Date Format: MM slash DD slash YYYY Please Upload a Photo of Yourself: (.jpg or .png)*Accepted file types: jpg, jpeg, png.Address:* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Do you have a valid Passport? (Must be valid for at least 6 months after the day of your return)*YesNoT-Shirt Size:*Youth MediumAdult Small (Same as Youth Large)Adult MediumAdult LargeAdult X-LargeAdult 2X-Large Save and Continue Later University:*Major:*Expected Graduation Date:* Date Format: MM slash DD slash YYYY How did you hear about the fellowship?*Please upload a resume that can list extracurricular activities, jobs, honors, awards, etc. (.pdf only)*Accepted file types: pdf.Think of one time when you had to take initiative to accomplish a goal. Tell us what initiative you took and what was the outcome (in 300 words or less)*How do you imagine your experience on the Fellowship empowering you to use your gifts and talents during college and beyond? (in 300 words or less)*Think of someone that you believe integrates their faith and professional life well. What is it about their example that inspires you? (in 300 words or less)*Introductory Video:*Please introduce yourself in a 60-90 second video and paste the YouTube or Vimeo link here * Letters of RecommendationPlease provide the contact info of 2 professional references who have insight into your strengths and talents and can attest to your desire to be a Catholic leader (i.e.: professors, clergy, youth ministers, coaches, managers, and/or teachers). No references can come from an immediate family member or from a peer (roommate, classmate, etc.). You will need to request that your references fill out the Letter of Recommendation Form that you will receive via email, and submit it directly to firstname.lastname@example.org . We encourage you to request they send it as soon as possible as your application will not be considered complete until we receive it.Reference #1Name* First Last Email* Enter Email Confirm Email Phone*Reference #2Name* First Last Email* Enter Email Confirm Email Phone*Letter of Recommendation* I agree to send a recommendation form to my references listed above. Save and Continue Later Emergency Contact 1Name* First Last Email* Enter Email Confirm Email Phone*Emergency Contact 2Name* First Last Email* Enter Email Confirm Email Phone*Medical InformationPlease specify any dietary restrictions / allergies:*Please indicate any details regarding the nature and severity of any physical and/or psychological ailment, illness, disability, allergy or condition of which the staff should be aware of during the course. (Include any medications you are taking.)*Video Interview:*A video interview is required as part of the application process. Please list at least three dates and times in which you will be available for an interview, and your Skype or FaceTime information. Click on the plus icon to add more rows.Date:Time:Timezone: (EST, CST, MST, PST, etc.)Skype Name / FaceTime Email: Legal AgreementYou must read and agree to the Catholic Worldview Fellowship Code of Conduct and RC Activities, Inc. Adult Participation Waiver.Code of Conduct* I have clicked the above blue link, read and understand the Fellowship code of conduct for this course, including my participation, respect for property, privacy and others, the appropriate dress code, and use of alcohol / drugs. I agree to adhere to all of these rules in the code of conduct. I also understand that I may be sent home at my own expense for any violations to the code of conduct.Participation Waiver* I have clicked the blue link above and read the Adult Waiver, understand all, and agree to all terms and conditions contained therein.Application Consent* I have answered all questions and provided information to the best of my knowledge honestly, and wish to formally apply for the fellowship. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.