Bucknell 2.0: Become the Author of Your Life

Interested in being part of the Class of 2012 Winter Retreat for sophomore students? Complete and submit the application below by Friday, December 9, 2009.

Personal Data

    Male Female

    City: State: Zip:

Personal Information and Motivation

    Check all areas that you may be interested in investigating during your retreat experience (by checking you are not committing to these selections):

    Health & Wellness
    Friendships & Relationships
    Time Management
    Social options (on campus)
    Career Exploration
    Navigating Academics
    Civic Engagement
    Values, principles & ethics
    Self Discipline
    Intercultural Communication/understanding
    Other, please describe

    Why do you want to attend the Class of 2012 Winter Retreat for sophomore students? Check all that apply:

    I want to meet more of my classmates.
    I don’t want to stay home for the whole break.
    I was encouraged to attend. By:
    My friends are also applying.
    I am looking for an opportunity to be involved.
    I would like an opportunity to reflect.
    Other, please explain

Expectations and Obligations

    Trip participants will adhere to all policies and regulations set forth by Bucknell University in the Student Code of Conduct and the Bucknell Student Handbook. Success of this program for a participant is dependent on full and active participation for the entire retreat. Group leaders reserve the right to require a participant to return to campus, at participant’s expense, if a participant’s behavior is deemed disruptive to the learning experience.

Agree and Submit

    By submitting this application, you agree that you have read the Class of 2012 Winter Retreat Expectations and Obligations (see above) and agree to all conditions relevant to the experience. If you are accepted to go on the trip, you will complete the required study in advance, take part fully in all aspects of the trip, and use the insight gained to the best of your ability.

    Once your application has been submitted, please send your refundable reservation fee of $50 (cash or check) to: Office of the Dean of Students, 219 Langone Center. Fee will be refunded contingent upon participation in the program.


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