Solidarity Immersion Application 2022-2023Loading...Current Rockhurst StudentCurrent Rockhurst StudentSetYour Contact InformationEmail AddressFirst NameMiddle NameLast NameBirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Rockhurst Campus AddressRockhurst Campus AddressCountryStreetCityRegionPostal CodeCell phone numberPursuant to the Family Education Rights and Privacy Act (“FERPA”), I hereby authorize Rockhurst University and its employees and/or agents to disclose the student education records described below to campus ministry for the Solidarity Immersion Trips:Records to be disclosed: All Records, including medical/vaccination statusPursuant to the Family Education Rights and Privacy Act (“FERPA”), I hereby authorize Rockhurst University and its employees and/or agents to disclose the student education records described below to campus ministry for the Solidarity Immersion Trips:Records to be disclosed: All Records, including medical/vaccination statusApproveRejectAcademic and Extracurricular ActivitiesAcademic ClassificationAcademic ClassificationFreshmanSophomoreJuniorSeniorGrad StudentNursingNursingJunior 1st Semester - J1Junior 2nd Semester - J2Senior 1st Semester - S1Senior 2nd Semester - S2Spanish LevelSpanish LevelNoneBeginnerIntermediateAdvancedFluentAre you a full-time student?Are you a full-time student?YesNoThe following are leadership positions you can apply for each solidarity immersion trip. Please select the positions that interest you.The following are leadership positions you can apply for each solidarity immersion trip. Please select the positions that interest you.Video ProductionPrayer and ReflectionFestival of Student AchievementNoneService Trip Experience/SelectionsDo you have previous immersion or service trip experience?Do you have previous immersion or service trip experience?YesNoService Trip ExperienceService Trip ExperienceRockhurstHigh SchoolChurchOtherNoneIf you went with Rockhurst, where did you go?Please list other here:How did you hear about the Solidarity Immersion Trips?How did you hear about the Solidarity Immersion Trips?Social MediaClass presentationPersonal invitationInfo sessionCampus ministry websiteAdvertisement/FlyerOtherI am interested in the (you can choose more than one if needed):I am interested in the (you can choose more than one if needed):Alabama Fall Break TripBelize Spring Break Trip (house building)Dominican Republic Spring Break Trip (health care - NURSING STUDENTS ONLY)If you are interested in both trips please select your first choice.EssayIf you have selected the Alabama trip please see the additional two questions at the bottom. If you have questions regarding completing your application please contact Emily Rose at emily.rose@rockhurst.edu.Please submit a brief paragraph on what solidarity immersion means to you and why you feel called to participate. (300 words max)Alabama trip:Please describe your understanding of the history of systemic racism and the connection to systemic racism today. (300 max)We all come to solidarity immersion experiences with multiple layers of identities, privileges, and barriers. Please reflect on your own identities, privileges, and barriers and how they operate within systemic racism. What do you see as your responsibility for dismantling that system? (300 words max)Submit
