TUCSON SAMARITAN STUDENT/GROUP APPLICATION
Please download and fill out the application pdf, and return it to us. The contents are shown below, but cannot presently be filled out online.
| visitor_application.pdf |
Thank you for your interest in learning about the work of the Tucson Samaritans. We welcome student groups to witness, and participate in our work of saving lives in the desert. If your group is interested in visiting Tucson, and working with us for a day, please have each member of the group complete the application below.
Applications for all group members need to be submitted 45 days in advance of your arrival. This allows us to find volunteers and vehicles to take your group into the desert. Please list the dates you would like to visit:
1st Choice: ___________________________________
2nd Choice: _________________________________
First Name: Last Name:
Cell Phone Number: Other Phone (if applicable):
Email:
Home Address:
City: State: ZIP:
Country:
U.S. Citizen? ___Yes ___No
If no, what documentation do you have (passport, visa, green card)? (Please contact us if you have concerns about this question)
Do you have any health conditions that could affect your travel in the desert?
University or School affiliation:
Name of Group Contact Person or Faculty Advisor, phone number and email:
If you are the contact person: How many students do you expect to be included in the group?
Emergency Contact Information:
Name: Relationship to You:
Phone Number: Email:
Skills
Do you have previous experience in the desert?
Medical training? (First Aid, CPR, etc.)
Do you speak Spanish? ___Yes ___No
What is your language level? ___Beginner ___ Intermediate ___ Advanced ___ Fluent
TUCSON SAMARITAN STUDENT/GROUP APPLICATION (PAGE 2)
Essay Questions: (please keep these short—more than a sentence and less than 150 words.)
1. What three questions do you want answered by this visit? Or what do you hope to learn?
2. Why are you interested in participating in the work of the Tucson Samaritans?
3. Are you willing to do background reading or research prior to your visit? Please prepare by reviewing the recommendations we make and let us know what you think you will be able to complete:
Please complete this application and return it to us so we receive it at least 45 days prior to your proposed visit.
You can mail it or email it to us as an attachment.
Mailing address: Tucson Samaritans, Southside Presbyterian Church, 317 W. 23rd
Email: sam.southside@gmail.com
A $20 deposit must be submitted with your application. Please mail a check made payable to Southside Samaritans. You will receive a confirmation email when your application and deposit are received.
Applications for all group members need to be submitted 45 days in advance of your arrival. This allows us to find volunteers and vehicles to take your group into the desert. Please list the dates you would like to visit:
1st Choice: ___________________________________
2nd Choice: _________________________________
First Name: Last Name:
Cell Phone Number: Other Phone (if applicable):
Email:
Home Address:
City: State: ZIP:
Country:
U.S. Citizen? ___Yes ___No
If no, what documentation do you have (passport, visa, green card)? (Please contact us if you have concerns about this question)
Do you have any health conditions that could affect your travel in the desert?
University or School affiliation:
Name of Group Contact Person or Faculty Advisor, phone number and email:
If you are the contact person: How many students do you expect to be included in the group?
Emergency Contact Information:
Name: Relationship to You:
Phone Number: Email:
Skills
Do you have previous experience in the desert?
Medical training? (First Aid, CPR, etc.)
Do you speak Spanish? ___Yes ___No
What is your language level? ___Beginner ___ Intermediate ___ Advanced ___ Fluent
TUCSON SAMARITAN STUDENT/GROUP APPLICATION (PAGE 2)
Essay Questions: (please keep these short—more than a sentence and less than 150 words.)
1. What three questions do you want answered by this visit? Or what do you hope to learn?
2. Why are you interested in participating in the work of the Tucson Samaritans?
3. Are you willing to do background reading or research prior to your visit? Please prepare by reviewing the recommendations we make and let us know what you think you will be able to complete:
Please complete this application and return it to us so we receive it at least 45 days prior to your proposed visit.
You can mail it or email it to us as an attachment.
Mailing address: Tucson Samaritans, Southside Presbyterian Church, 317 W. 23rd
Email: sam.southside@gmail.com
A $20 deposit must be submitted with your application. Please mail a check made payable to Southside Samaritans. You will receive a confirmation email when your application and deposit are received.
