COAR Peace Mission * 4395 Rocky River Drive * Cleveland, Ohio 44135-2569 * (216) 252-5572 * coarpm@sbcglobal.net

 
Application to visit the
COAR Children's Village in Zaragoza, El Salvador
Printable version
Form date: March 21, 2007
Instructions:
Print and sign the completed application form and mail it to COAR in Cleveland:
 
COAR Peace Mission
4395 Rocky River Dr.
Cleveland, OH 44135
If any required information is left blank, or if you cannot answer “yes” to any items of the application information, you may be ineligible to travel to COAR. Please discuss any problems or questions with your group leader.

1. Your Personal Information
* required
Full Name: *
________________________________________________________________________
Travel Dates : *
________________________________________________________________________
Group or organization: *
________________________________________________________________________
Group leader : *
________________________________________________________________________
* one of these phone numbers is required:  
Work/day Phone: *
________________________________________________________________________
Home/evening Phone: *
________________________________________________________________________
Cell Phone: *
________________________________________________________________________
Fax:
________________________________________________________________________
E-mail:
________________________________________________________________________

2. General Understandings

* required
Yes
No
 Place a check mark in either the Yes or No box for each item to indicate that you understand the conditions you are likely to encounter on this trip. Please discuss any questions or concerns about these items with your group leader.*
    I understand that travel in El Salvador may be difficult and uncomfortable, hot, dusty, and with unexpected delays. COAR and other sites require walking and climbing. Electricity at COAR and excursion sites is limited an unreliable. I feel that my general physical health is sufficient for this trip.
    I understand that COAR exists to serve the best needs of impoverished children. I want to participate in COAR's mission by respecting the children's schedule, honoring any requests made by the housemothers, teachers, or staff regarding the well-being of COAR, and bringing any concerns about my understanding of these requests to my group leader.
    I understand that El Salvador has a tragic and complex past, through which many people I meet will have lived and suffered. I will ask any questions about that time and receive the answers humbly and with the understanding that I may not have the language ability or experience to judge the actions or opinions of those Salvadorans who share their experiences with me.
    I understand that the needs of my group must be respected and I will follow the established schedule, participate in group activites and reflection times, and be considerate of my fellow-travellers.
    I understand that if my behavior endangers the children or staff of COAR or my group I may be asked to leave COAR and El Salvador at my own expense.

3. General Questions
* required
Please take a moment to consider these four (4) questions. The answers need not be long, but we hope they will be well-considered so that your experience at COAR will be as rich as possible:
A.
 What do you understand to be the purpose of your group's visit to COAR?
B.
 What are you curious about regarding COAR, El Salvador, the developing world, or the poor?
C.
 What do you feel you can bring to your group and what do you hope to gain from the group?
D.
 How do you plan to follow-up your experience at COAR?


Signature of participant: _______________________________________ Date: _________
 
 
Return signed original to:
COAR Peace Mission
4395 Rocky River Dr.
Cleveland, OH 44135