Field Course FRE201/ LCS 330 (3 credits)
Trip Sponsors:
Partners in Progress and the
Association of Peasants of Fondwa
late May, early June: dates TBA
Personal Data
Name:______________________________________________________________________
Address in Albany:______________________________________________________________
Other Address:_________________________________________________________________
Telephone:______________(day) ________________(evening)___________________(cell)
E-mail______________________________ Student Number _______________________
Age_________________________________
Gender______________________________
Health Information
General Health: Excellent ( ) Good( ) Fair( )
List any allergies, disabilities, heart conditions or other health-related problems:
______________________________________________________________________________
______________________________________________________________________________
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Are you currently under a physician's care or taking any prescription medicine?
If yes, please describe:
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Experience and Expectations
Why do you want to participate in the trip to Fondwa Haiti?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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Please describe any experience you have had in traveling in impoverished areas.
(None is fine.)
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Do you speak French or Creole ?(Neither is fine)
French: Fluent ( ) Limited conversational skills ( )Survival words ( )
Creole: Fluent ( ) Limited conversational skills ( ) Survival words ( )
Do you expect to get credit for this field-course?
If you are a graduate student expecting to get credit, what arrangements will
you make with your department?
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Are there any specific expectations or hopes that you have for this experience?
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Please describe briefly how you might share your experiences in Haiti with others
(at your former high school, at the University, religious congregation, community
organization, etc.)
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IMPORTANT! You will be notified if you are selected to participate in the
field-course. At that point you should register for FRE 201, course no. 8008,
or make arrangements with your advisor for independent study credit and register.Your
application will be considered complete only upon receipt of a $100 deposit
(non-refundable should you not participate.) The deposit will be sent to American
Airlines which will refund it upon return to the USA. Please send a check made
out to Eloise Briere and mail it to Dr. Eloise Briere 52 Brookline Ave, Albany,
NY 12203
Prof. Eloise A. Briere French Studies - LLC
Humanities 219
SUNY at Albany
Telephone - 518-442-4103 Fax - 518-442-4111
to send an e-mail click here