Italy Trip Application

Italy Trip Application
“In the Shadow of Vesuvius,” is scheduled for Spring Break 2023.

This experience is an excellent opportunity for Brebeuf students to extend their classroom community. Students who participate will live in a charming, rustic villa in Cumae, the Villa Vergiliana. The Villa is run by a local Italian family who prepare our food with love daily.

In order to participate, students must be currently enrolled in Latin I (or higher) or have special permission from the language department faculty. Students must be currently in good academic and behavioral standing as indicated by the Dean’s Office. Students must have a valid U.S. Passport (or be in the process of applying for one). Finally, students must plan to attend ALL pre-trip meetings. The preparation for such a trip is extremely important, and each traveler must be aware of particular information and general expectations prior to departure. There are a limited number of spaces and preference will be given to those in Latin. Of course, if there is room we will open the trip up to students in other languages.

If you have any questions, please contact Magistra Catalan at rcatalan@brebeuf.org.
STUDENT INFORMATION
Student Name *

First Name Last Name
Grade *
Student Email *
example@example.com
Student Cell Phone Number *
Please enter a valid phone number.
Parent #1 Name *

First Name Last Name
Parent #1 Cell Phone Number *
Please enter a valid phone number.
Parent #1 Email *
example@example.com
Parent #2 Name

First Name Last Name
Parent #2 Cell Phone Number
Please enter a valid phone number.
Parent #2 Email
example@example.com
Physician Name *

First Name Last Name
Physician Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Physician Phone Number *
Please enter a valid phone number.
Emergency Contact Name *

First Name Last Name
Emergency Contact Relationship *
Emergency Contact Phone Number *
Please enter a valid phone number.
List any allergies *
Name on Passport

First Name Last Name
Passport Number
Passport Expiration Date

Month Day Year
Date
SCHOOL INFORMATION
Date of Admission to Brebeuf Jesuit

Month Day Year
Cumulative GPA *
Languages Studied at Brebeuf (Please include levels) *
Describe your Latin proficiency, addressing both strengths and weaknesses (3-4 sentences) *
Describe your personality, address both strengths and weaknesses (3-4 sentences) *
ESSAY SUBMISSION

Write an essay in English (200 words) that explains your reasons for applying to “In the Shadow of Vesuvius” and how you see your possible participation helping you to become more (a) open to growth; (b) intellectually competent; (c) religious; (d) loving; (e) committed to promoting justice. This essay is required to submit the application.
Please type or copy/paste your essay in the provided box below.
Should be Empty:

Italy Trip Application

STUDENT INFORMATION

SCHOOL INFORMATION