Expeditions Application

Current Students: Before filling out this application, please make sure that you are registered for the course through my.gordon.edu. La Vida is listed under summer term offerings. 

Incoming students: You are required to make a nonrefundable $200 deposit for the expedition. This deposit must be received within 10 business days of submitting your application to reserve your spot. We cannot receive credit card payments at this time, but you can send a check made payable to "Gordon College" (we cannot accept checks made out to La Vida) and mail to:

La Vida at Gordon College
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 518.891.4188 or email to make alternate arrangements.

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


College Expeditions Application

Before you fill out this application, please read our cancellation and refund policy (http://www.gordon.edu/lavida/college/costs). By submitting this application, you agree that you have read and understand this information, 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. Year in college at time of registration

Incoming
Freshman
Sophomore
Junior
Senior

2. First Name

3. Last Name

4. Nickname

5. College ID number (Given to you by admissions. You do not need this to apply, but it is helpful in distinguishing students.)

6. Home Address

7. City

8. State

9. Zip

10. Country

11. Home Phone

12. Cell Phone

13. Personal Email (if you have not been assigned a Gordon email yet)

14. Gordon Email

15. Household/parent or guardian email

16. Sex

Male
Female

17. Age

18. Birth date (mm/dd/yyyy)

19. Height

20. Weight

21. Course preference and availability for PED016 2017. ***The May and August trips are split into two departure dates to accommodate the number of students. You will be notified of your departure date by email.

May Trip 5/21 or 5/22- 6/2 (current students only)
June Trip 6/27-7/8 (incoming and current students)
July Trip 7/11-22 (incoming and current students)
Late July Trip 7/25-8/5 (incoming and current students)
August Trip 8/12 or 8/13-8/24 (incoming students, current students by petition)

22. Specific patrol request

Mountain
Canoe
Any

23. Reason for specific patrol request:

24. Major

25. Extracurricular activities:

26. Previous camping experience:

27. What three words best describe your temperament?

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

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

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

31. Are there any special logistical needs, requirements or prayer requests for this upcoming experience? Your Sherpas pray for you by name before the expedition.

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

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

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

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

36. 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?

37. Are you taking any prescribed medications?

38. Do you have any food allergies or dietary needs? Please check all that apply.

None
Vegetarian
Vegan
Lactose Intolerant
Dairy-Free
Gluten-Free
Celiac
Other Food Allergies

39. If you made a selection above, please explain the allergy and its severity:

40. Do you carry an EpiPen for your food allergy? (If yes, please note you must bring your own EpiPen in addition to the ones we carry in the first-aid kit.)

Yes
No

41. Do you have an allergy to bee stings? (Yes/No/Severity) If yes, do you carry an EpiPen? (Please note that you must bring your own EpiPen in addition to the ones we carry in the first-aid kit)

42. I have read the cancellation and refund policy and agree to abide by that policy.

Yes

43. If your parent currently works at Gordon College, please enter their Gordon email address: