NATIONAL IMMERSION APPLICATION FORM

This application is to request your participation in PSR's Immersion Course during the upcoming Intersession.

 The deadline for this application is October 1st.

 

A $150 deposit check is required to complete this application** (check payable to PSR).
This deposit is refundable if the application is not accepted.

Please note the name of the immersion course on your check, and send it to:

          Office of Contextual Learning
          Holbrook 125
          1798 Scenic Avenue, Berkeley, CA 94709

 ** If you are unable to provide a deposit of $150 before October 1st, please indicate this on your application form.

 

CONTACT INFORMATION
IDENTIFICATION INFORMATION

This information is used to coordinate logistics. It is NOT used to determine eligibility.

COURSE PARTICIPATION
FINANCIAL AND MEDICAL SUPPORT

There are many sources you might explore for financial support, including personal savings/income, loans, grants, letters requesting personal sponsorship, PSR immersion funds, denominational and/or congregational support, and community group sponsorship/promise of presentations.

FINANCIAL AID INFORMATION

If you answered YES to the above question, please complete this section.

PSR will award financial aid to qualified applicants based upon the following criteria:
A. Total cost of the trip.
B. Financial need as reflected in the applicant's current year financial aid application.
C. Supplemental financial information provided below.

If you have not submitted an application to the GTU Financial Aid office, please complete a financial aid application and submit it to the Office of Contextual Learning (forms available on the GTU Financial Aid website)

CONFIRMATION