| If you have any technical difficulty submitting this electronic form, please contact Deb Kim, web specialist for student programs, at dkim@cccu.org or 202-546-8713, ext. 211. We recommend that you type your essay responses in a separate document and save it on your computer. Then, you can "cut and paste" your responses into this form and avoid the potential loss of your work. |
 |
| Title | |
|
|
| First Name * | |
|
|
| Middle Name/Initial | |
|
|
| Last Name * | |
|
|
| Preferred Full Name | |
|
|
| Professional Title/Position * | |
|
|
| Department * | |
|
|
| Institution * | |
|
|
| Work Address * | |
|
|
| City * | |
|
|
| State * | |
|
|
| Postal Code * | |
|
|
| Work Telephone * | |
|
|
| Email * | |
|
|
| Home Address * | |
|
|
| City * | |
|
|
| State * | |
|
|
| Postal Code * | |
|
|
| Home Telephone * | |
|
|
| Length of Service in Position/Department/Institution * | |
|
|
| Are you applying for this study tour in conjunction with any institutional faculty/staff development program and/or aid? Please explain. | |
|
|
| What is your current understanding of religion and politics in Russia? (Please note that we are looking for people from a variety of perspectives and training.) * | |
|
|
| What is your opinion of President Putin's policies, and how do you get your information? * | |
|
|
| How might your mission as a faculty/staff member at a CCCU college or university be furthered by participation in this study tour? * | |
|
|
| Tell us about other cross-cultural experiences you have had, especially highlighting any previous visits to Russia. * | |
|
|
| Along your spiritual journey, describe how you have sought to link what you believe to specific actions, such as courses taught, voluntary service, community activism, extracurricular activities, etc. * | |
|
|
| * Required |
|
