Basic Information Characteristics - Inspiring Girls Expeditions A

BasicInformation
DateofBirth,ContactInformation(Address,City,State/Province,Country,Zip/Postal
Code,PhoneNumber),SchoolInformation,ParentorGuardian'sContactInformation
Characteristics
Wewantadiverseteam-diverseintermsofethnicity,culturalbackground,geographiclocation,
familyeconomicsituation,educationalbackground,andpersonalities!Towardsthatwewouldlike
foryoutogiveusalittledeeperideaofhowyouviewyourself.Remember,wearenotlookingfor
specificanswerstothesequestions-basicallywewilltakeamixofgirlswhospanthespectrumfor
eachofthese.
1.Doyouraiseyourhandandparticipateinclass?
Notreally,I'mmoreofaquietlistener
Yes
Sometimes
2.Doyouplantogotocollege?
No
Yes
Unsure
3.Dideitherofyourparentsgotocollege?
No
Yes
4.Doyouworkoutsideofschool?
No
Yes
5.Myfavoriteclassis:
Science
Math
English
Art
History
Sports
Music
Other______________________
6.Myfriendsconsiderme(Checkallthatapply):
Outgoing
Shyorprivate
Funny
Aleader
Asciencegeek
Artsy
Tough
Athletic
Other______________________
7.IfeelIcanbestbedescribedas:
AmericanIndian,FirstNationorAlaskaNative
Black
Chinese,Japanese,Taiwanese,Korean
Indian,orfromtheIndiansub-continent
Latina
Mixedrace(includingBlack,Latina,orAmericanIndian/FirstNation/AlaskaNative)
Mixedrace(notincludingBlack,Latina,orAmericanIndian/FirstNation/AlaskaNative)
SoutheastAsianorPacificIslander
White
Other______________________
8.Whatkindofneighborhooddidyougrowupin?
Innercity
Urban
Suburban
Rural
Other______________________
9.Howwouldyoudescribeyourfamily'slifestyle?
Upperoruppermiddleclass
Middleclass
Lowermiddleorworkingclass
Other______________________
10.Doanyofthefollowingapplytoyou?(Checkallthatapply):
*Notethatthisquestionisoptional.InspiringGirlsExpeditionsstrivetocreateasafeandsupportive
spaceforgirlsofalltypes.Justaswithanyotherquestion,youranswertothiswillnotaffectyour
selectionfortheprogram,butwillhelpusgetasenseofwhoyouareandenableustobuildadiverse
team.
Daughterofasingleparent
Daughterofdivorcedparents
Notlivingwithparents
Livedorcurrentlyliveinfostercare
Comingfromanactivemilitaryfamily
Recentimmigrant
FirstgenerationAmerican
LivedorcurrentlyliveonIndianreservationorinAlaskanativevillage
HealthandWell-Being
PleasenotethatifyouareacceptedasamemberofanInspiringGirlsExpedition,youwill
berequiredtohaveabasicphysicalandamedicalformsignedbyyourdoctor.While
similartothatrequiredbymanyschoolsforsportsprograms,ourmedicalformisunique
withquestionstargetedtomountaineeringandbeinginaremotewildernesssetting.You
willneedtogetourformcompletedbyaphysicianorphysician'sassistanttobeableto
participate.Pleasefeelfreetocontactuswithquestionsatanytimeregardingthis
requirement.
Howfastcouldyourun2milestoday?
Ifyouhaven'trun2milesrecently,pleaseasksomeonetohelpyoutimeyourself.
Howmuchdoyoutypicallyexerciseduringaweek?
Pleaseprovidetheactivity,duration,andnumberoftimesperweek(forexample:running,
30minutes,2timesperweek).
Whatisthemostchallengingrun,hike,orwalkyouhaverecentlydone?
Pleasedescribethisexperience(howfaryouwent,howlongagoitwas,theterrain:mostly
flat,littlehills,orbighills;pavedroad,mountaintrail,orbeachwalk).,whenyou
accomplishedthis,andwhatyoulearnedthatwillhelpyoutrainforInspiringGirls
Expeditionsifyouareaccepted.
Areyoucapableofcomfortablyswimming25yardscrawlstrokeindeep
water,facedown,breathingalternatesides,thentreadingwaterfor1
minute,andthenswimmingback?
Weaskthisbecausethekayaking-basedexpedition"GirlsinIcyFjords"requiresthatwe
selectgirlswhoarecomfortableindeepwaterforsafetyreasons.WerecommendRedCross
swimminglevel3ataminimumandwilldiscussthismorewithyouifyouareselectedfor
theteam.
Yes
No
Betterphysicalfitnesswouldhelpyouenjoytheprogrammore.Would
youbewillingtotrainifyou'reacceptedontotheteam?
Aspartoftheprogram,youwillbeexpectedtowalkupto5-8milesperdayoveruneven
terraincarryingapackthatweighs40pounds.
No
Yes
InspiringGirlsExpeditionsareveryphysicallyandemotionallydemanding
programs.Withthatinmind,InspiringGirlsExpeditionsarenotan
appropriatechoiceforindividualsdealingwithsignificantbehavioral,
emotional,medicalorrehabilitationissues.Arethereanyofthe
followingissuesthatwewouldneedtobeawareofand/oraccommodate
inordertoprovideasafeandsupportiveenvironmentforyouandyour
team?Pleasereadthetwofollowingquestionsthoroughly,andanswer
honestly.Pleasenotethatwemaydiscusstheseissueswithyouandask
tospeaktoyourdoctorpriortoyouracceptanceontheprogram.
Doyouhaveanyphysicallimitationsormedicalconditionsthatwould
makecamping,hikingorlivingoutsidechallenging?***
Pleasechooseanythatapply:
Nophysicallimitationsormedicalconditions
Epilepsy
Diabetes
Allergies
Seizuredisorder
Dizziness,vertigoorfainting
Respiratoryissues
Asthma
Hepatitisorliverdisease
Cardiacissues
Weight50poundsorgreaterthantheaverageforyourheight
Brokenanybonesorsustainedanyseriousjoint,muscleorbackinjuriesinthepast3
years
EmergencyRoomvisitinthepast3years
Other
Furtherinformationonphysicallimitationsormedicalconditions***
Pleaseprovideuswithmoredetailonyourphysicallimitationsormedicalconditions,so
thatwecanbetterprovideasafeandsupportiveenvironmentforyouandyourteam.
Doyouhaveanymentalhealth,behavioral,oremotionalconditionsthat
mightmakedoingrigorousphysicalactivity,beinginanunfamiliar
landscape,beingwithanewgroupofpeople,andbeingpushedoutside
ofyourcomfortzonechallengingforyou?***
Nomentalhealth,behavioraloremotionalissues
Anxiety-mild,moderateorsevere
Depressionand/orsuicidalthoughts
Eatingdisorders
Psychologicalorbehavioralproblems
Neurologicaldiagnosis
Pastorcurrentdrug,alcohol,ortobaccoaddiction
Other
Furtherinformationonmentalhealth,behavioral,oremotional
condition***
Pleaseprovideuswithmoredetailonyourmentalhealth,behavioral,oremotional
conditions,sothatwecanbetterprovideasafeandsupportiveenvironmentforyouand
yourteam.
***Exceptinextremecasesaffectingsafetyoftheteam,youranswertothisquestion
willnotaffectourdecisiontoacceptyou,butitwillallowustobeginthinkingabout
howbesttoaccommodateyourneedsandtocreateadiverseandmutually
supportiveteam.Ifyouhaveanyquestionsaboutthis,pleasecontactus.
AboutYou
Pleaseanswerthefollowingquestionswithoneortwoparagraphs.Itismoreusefultothe
applicationreviewcommitteeifyouprovidespecificexamplesortellstoriesratherthan
answeringingeneralstatements.Youranswersinthissection,whicharelimitedto900
characters,arethebestwayforustolearnaboutwhoyouare.Wesuggestyoucompose
youranswersinaseparatetexteditingapplication(suchasWord),haveanadultreadthem
andprovidefeedback,andthencopyandpastethemintheboxesprovided.
1.PleasedescribeyourinterestinInspiringGirlsExpeditions.
Whydoyouwanttoparticipateinthisprogram?
2.Howdoyouspendyourdaysandweekendsoutsideofschool?Whatis
atypicaldayandatypicalweekendlikeforyou?
3.Whatdoyoufeelisoneofthemostimportantrecentscientific
discoveriesorongoingscientificquestions?
Whatisitaboutthisdiscoveryorquestionthatinterestsyouorconnectswithyourlifein
someway?
4.Describeyourrelationshiptoorexperiencewithartasatoolfor
expressionandcommunication.
Here,'art'caninclude(butisnotlimitedto)drawingandpainting,sculpture,music,dance,
theater,photography,writing,oranykindofactivityyouusetoexpressyourselfcreatively.
5.Whatdoyoufeelareyourstrengthsoroutstandingqualitiesof
character?Whatdoyoufeelareyourweaknessesorareasinwhichyou
wishtoimproveyourcharacter?
Pleaseprovidespecificexamplesortellstoriesratherthanansweringingeneralstatements.
6.Whatwouldyouliketobedoinginallaspectsoflife(e.g.
career/school/personallife)insixyears?
7.Whatareyourideasonhowyoumightfundraiseifselectedto
participateonanexpedition?
Examplesinclude:bakesales,yardwork,babysitting,choresforneighbors,sponsorship
fromalocaloutdoorstore.Note:Whiletheprogramistuition-free,withfoodandgearcosts
coveredforthedurationoftheprogram,weexpectyoutomakeacontributiontowardyour
travelcosttogettothestartinglocationofyourprogram.Ifyourfamilyisunabletopayfor
theflights,weaskyoutofundraiseamodestcontribution.Thishelpsusprovidemore
experiencesformoregirls,andithelpsyoufeelcommittedtobeingonourteam.Wewill
sharestrategieswithyouonhowtodothis.Ifyouarechosenfortheteam,wewillwork
withyouandyourfamilytodiscussoptionsforcoveringyourtravelcosts.
8.Howwouldyoucontributetothediversityofourteam?
Wearelookingtobuildadiverseteam–diverseintermsofethnicities,cultural
backgrounds,hometowns,upbringing,personalities,identitiesandlifeexperiences.
9.Pleasetelluswhyyouthinkparticipationinthisprogramwillhaveabig
impactonyourlife.
WehopeInspiringGirlsExpeditionswillbealifechangingexperienceforourparticipants.
Pleaseprovidespecificexamplesonhowthisprogramwillimpactyourcurrentsituation
andinfluenceyourfuturegoalsinlife.
10.HaveyouappliedtoanyInspiringGirlsExpeditionsinpreviousyears?
11.Isthereanythingelseyouwouldlikeustoknowaboutyou?
IconfirmthatIwrotethisapplicationmyself,withatmostsomesuggestionsandediting
helpfromfamily,teachers,orfriends.IconfirmthatIhaveansweredthequestions
honestly.IwillinformInspiringGirlsExpeditionsofanychangesthatmightimpactmy
selectionfortheprogram.