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Expeditions Application

We are excited that you have chosen to do La Vida College Expeditions! Please fill out the form below so we can get to know you more. We will do our best to process your application within one week of submission. Once we have reviewed it, we will send you a confirmation of acceptance to the trip you requested, or we will inform you if you have been placed on a waitlist. We may need to contact you further to discuss any food allergies or medical concerns you noted. Please wait to hear from us before making travel plans. 

By submitting this application, you agree that you have read and understand the cancellation and refund policy as stated in the dates and costs page.  

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


College Expeditions Application

1. Course preference and availability for PED016 2018. ***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 closer to the trip.

May Trip 5/20 or 5/21- 6/1 (current students only)
June Trip 6/26-7/7 (incoming and current students)
July Trip 7/10-21 (incoming and current students)
Late July Trip 7/24-8/4 (incoming and current students)
August Trip 8/11 or 8/12-8/23 (incoming students, current students by petition)

2. Specific patrol request

Mountain
Canoe
Any

3. Reason for specific patrol request:

4. Year in college at time of registration

Incoming
Freshman
Sophomore
Junior
Senior

5. First Name

6. Last Name

7. Nickname

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

9. Home Address

10. City

11. State

12. Zip

13. Country

14. Home Phone

15. Cell Phone

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

17. Gordon Email

18. Household/parent or guardian email

19. Sex

Male
Female

20. Age

21. Birth date (mm/dd/yyyy)

22. Height

23. Weight

24. 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?

25. Are you taking any prescribed medications?

26. 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

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

28. 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

29. 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)

30. Major

31. Extracurricular activities:

32. Previous camping experience:

33. What three words best describe your temperament?

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

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

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

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

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

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

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

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

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: