Interfaith Fair Trade Delegation to El Salvador

PC(USA) Fair Trade Delegation to Nicaragua January 21-28, 2017 Application Form

*Please return completed applications to [email protected] by October 1, 2016*

BASIC INFORMATION (Please fill in all fields) Name (First, Middle, Last) Address City ______State ______Zip

Phone Daytime ______Evening ______Cell E-mail ______

ADDITIONAL BACKGROUND INFORMATION (Please fill in all fields) D.O.B. ______(mm/dd/yy) Gender ______Church ______Presbytery______Present Occupation

Spanish? No Yes If yes, please specify fluency: ______

Please explain your current involvement/leadership within the church:

REFERENCES Please provide two personal references (please include at least one church related reference such as your Pastor, Clerk of Session, or presbytery staff). Name #1 __ Relationship to you______Known Years Phone ______City ______State ____ Name #2 __ Relationship to you______Known Years Phone ______City ______State ______

Please return your completed application by email no later than Oct 1, 2016:

Jessica Maudlin Phone: 502.569.5626 [email protected]

Your Name: ______

1. Why do you wish to participate in this Fair Trade Delegation to Nicaragua?

2. What involvement, if any, have you had in social/economic justice work in your church or community?

3. How do you hope to use this experience within your own work to further Fair Trade and build a more just and sustainable world?

4. What interests/ skills/ background do you bring which will enrich the experience for yourself and for the group?

5. Have you participated in ministries supported by the Presbyterian Hunger Program? (for example, used the Just Eating curriculum, promoted or given to One Great Hour of Sharing, organized CROP Walk, etc.) If so, what was it and how did you participate?

6. What experiences, if any, have you had with cultures different from your own? Please describe any other experience you’ve had working or traveling in other countries.

7. Your trip will involve an overnight stay in the countryside with very basic living conditions (i.e. sleeping on a hard bed or floor, outdoor latrines, no running water), and may require a long walk into a village without road access or an uphill hike to the coffee plots. Do you feel that this will present any problems for you? If so, please explain.