La Vida Center for Outdoor Education & Leadership
Share This

Expeditions Application

Click here to download the PDF version of the 2014 College La Vida Expeditions application or apply online below.

Incoming students are required to send a nonrefundable $200 deposit with their application, however online payment is not possible at this time. If you are applying online, this deposit must be received within 10 business days of submitting your application to reserve your spot. Make checks payable to "Gordon College" (we cannot accept checks made out to La Vida) and mail to:

La Vida Center
255 Grapevine Road
Wenham, MA 01984

Please put your name and trip date in the memo. La Vida will contact you to confirm your enrollment after we have received your application and deposit.

For international students who cannot send a check in the mail, please contact the La Vida office at 978.867.4111 or email to make alternate arrangements.

Please Note:
This form will timeout and erase answers after 20 minutes.


2014 La Vida Expeditions Application

By submitting this application, you agree that you have read and understand the information and refund policy included in the printed application, and you agree to abide by the refund policy as stated. (Current Gordon College students who have registered for a La Vida Expedition are already bound to the refund policy by the Gordon College catalog.)

1. First name

2. Last name

3. College ID number

4. Home address

5. Address (line 2)

6. City

7. State

8. Zip

9. Country

10. Home phone

11. Cell phone

12. Email

13. Household/parent or guardian email

14. Sex

Male
Female

15. Age

16. Birth date (mm/dd/yyyy)

17. Height

18. Weight

19. Course preference and availability for PED016 2014 (please check all that apply)

May Trip 5/18-30 (current students only)
June Trip 6/24-7/5 (incoming and current students)
July Trip 7/8-19 (incoming and current students)
Late July Trip 7/22-8/2 (incoming and current students)
August Trip 8/9-21 (incoming students, and current students by petition)

20. Specific patrol requests

Mountain
Canoe
Any

21. Reason for specific patrol request

22. Major

23. Year in college at time of registration

24. Extracurricular activities:

25. Previous camping experience:

26. What three words best describe your temperament?

27. What three goals would you hope to accomplish during your La Vida experience?

28. How did you hear about and decide to apply for this Expedition? What is the main reason you want to go on the trip?

29. What gifts, talents, values, etc., would you bring to a La Vida small group?

30. Are there any special logistical needs, requirements or prayer requests for this upcoming experience?

31. On a scale of 1 to 10, 10 being the highest, rate yourself in health

32. On a scale of 1 to 10, 10 being the highest, rate yourself in physical strength

33. On a scale of 1 to 10, 10 being the highest, rate yourself in endurance

34. On a scale of 1 to 10, 10 being the highest, rate yourself in desire for spiritual growth

35. Due to the strenuous nature of the activities and remote environment, are there any physical, emotional or mental health concerns we need to be aware of?

36. Are you taking any medications?

37. Are you allergic to bee stings? (Yes/No/Severity)

38. Other allergies, especially foods? What foods and how severe?

39. If yes, do you carry an epi pen? (If yes, please note you must bring your own epi pen in addition to the ones we carry in the first-aid kit.)

Yes
No

40. Do you have special dietary needs? (We will work with you regarding medical dietary needs. Please contact us.) Explain: