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Name * First Last
Chapter *
Email *
Cell Phone * ### - ### - ####
Campus Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Why are you interested in participating in the DU Global Service Initiative? What do you expect to gain from participating? *
We are looking for a group of members that is both effective and diverse. Please comment on the strengths you would bring to this group (related experience, leadership, interpersonal skills, etc.) and on the qualities and experience you could contribute to the diversity and character of the group. *
IMPORTANT INFORMATION

Please agree to the following items below:
Photo/Media Release: You grant Delta Upsilon permission to use your name and any photographs, audio, and/or video of and/or quotes from you, without compensation, in any promotional materials and publications in connection to Delta Upsilon.

Drug Free Policy: The Global Service Initiative promotes a drug free philosophy. This prohibits illegal drug use by anyone during the Global Service Initiative. Any member who does not adhere to this policy will be asked to leave the initiative and return to his place of residence at his own expense.

Participation: You will participate in all pre-initiative webinars/activities. You also agree to participate in any and all group activities during the trip. Dates for all activities will be communicated through email.

Physical Requirements/Insurance: The Global Service Initiative can be extremely physically demanding and may take place in extreme temperatures. You understand that you must be in good physical condition, with health insurance, to fully participate in the initiative. You will be asked at a later date to furnish documentation of health insurance.

Refunds: You are aware that all payments made to the Global Service Initiative are non-refundable.

Honesty: You certify that the information you have provided throughout this application is true and correct to the best of your knowledge.

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By typing your name below, you understand and agree to the expectations set forth in this application, and are aware that a failure to meet these expectations may results in your exclusion from this program. *

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IMPORTANT INFORMATION