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CTU STUDY AND TRAVEL PROGRAMS Application Process Study in Italy February 14 24, 2019 SH5001 Christian History and Spirituality in Art and Architecture Since this is a program of overseas travel, it is necessary to have all the required documentation in order. If you do not have a passport, please secure one as soon as you can. Citizens of the United States can get information about securing a passport from www.state.gov/travel. Citizens of other countries should consult local authorities about securing a passport. If you already have a passport, please ensure that it is valid for six months beyond the program s end date (in this case, July 23, 2019). You may apply for the program before you have your passport, but you must have a valid passport before beginning the trip. Obtaining a visa to Italy is the responsibility of the participants. U.S. citizens will not need to acquire any visas before leaving although citizens of other countries may need to secure a visa for Italy. Please contact the Italian embassy or consulate near you for information. It could possibly take up to 60 days to process papers for your visa request please allow enough time. Special Note: Visas must not expire before the trip has concluded. Also, if you are a citizen from a country other than the US and you intend to return to the US after this trip, make sure your visa for the US won t have expired before your return date! Thank you for carefully completing the application form. This will bring you one step closer to the land of the Popes, Saints and other colorful figures of our Church s history. Application DEADLINE: Oct. 1, 2018 or when the course fills up. Please return the application and $250 non-refundable deposit to: Director Biblical Study and Travel Office, Catholic Theological Union, 5401 S. Cornell Avenue, Chicago, IL 60615. 1

CTU STUDY AND TRAVEL PROGRAMS Application Form Study in Italy February 14-24, 2019 SH5001 Christian History and Spirituality in Art and Architecture Please print all information Name (Please print your name as it appears on your Passport) Last First Middle Mailing Address Street City State/Province Postal Code Country Note: If you change your address or phone number any time before January 31, 2019, please notify the professor at cavazos@antonianum.eu E-mail address Telephone Day ( ) (Please include the country code if number is not in the US.) Evening ( ) 2

[If your bills should be sent to someone other than yourself (i.e. the Treasurer of your Religious Congregation], please put that contact information below (address, phone number and email address) otherwise, please leave these lines blank] [We will be compiling a contact list for all participants to use for staying in touch with each other after the trip is over. If any of the information on the preceding page should appear differently on the contact list (i.e. the first name you regularly use is not the same version as appears on your passport or you want only your work phone number put on the list), please indicate that below otherwise, please leave these lines blank.] [We will also be making name tags for each person to wear to facilitate your getting to know one another. They will be made in this format sample: Maria Collins, OSF Please indicate your preference based on how you would like to be addressed in everyday conversation. Large Letters (on top) : Smaller Letters (below): Thanks!] Passport Information Issuing Country Passport Number [Please carefully note the way the dates below need to be configured.] Birthdate (DD/MM/YYYY) Date of Issue (DD/MM/YYYY) Expiration Date (DD//MM/YYYY) Note: If you do not have a passport or if your passport will expire before July 23, 2019, please apply for or renew your passport at your earliest convenience. After receiving your passport, please send the above information to The Director of Biblical Study and Travel Programs at CTU. Holders of US passports will be issued a visa for Europe upon arrival at Fiumicino Airport (Rome) at no cost. Holders of other Passports should contact an Italian Consulate for visa information. 3

Travel Plans I plan to travel to and from the trip on the recommended flight dates (Feb 14 and Feb 24).** I plan to extend the trip by a few days and travel on my own.*** **You will need to make your own flight reservations, contact Prof. Gilberto Cavazos for recommended flights. cavazos@antonianum.eu *** If you are not traveling on the recommended flights, please check with Prof. Gilberto Cavazos about meeting up with the group in Rome. Single Room Supplement I request a single room and understand it is an additional fee of $400. I am not requesting a single room Do you already have a roommate for these trips? If so, who? If not, roommates will be assigned. To help make compatibility more likely, please answer the following questions: Do you smoke? Yes No Do you snore? Yes No Are you a night owl? Yes No Are you an early riser? Yes No How early? Ecclesiastical Background I am a member of the Church. I am a lay person: (Single Married ) I am a member of the following religious community: Name of Congregation: ( Professed In Formation Seminarian..Year of Ordination ) The initials at the end of my name that identify my congregation are: I am a member of the diocesan clergy: Diocese ( Seminarian Year of Ordination ) 4

Name (Please print your name on this page again thanks!) Last First Middle Emergency Contact: In case of emergency, please contact Name Relationship Address City, State, Zip Code E-mail address Telephone ( ) (Day) ( ) (Evening) (Please include the country code if number is not in the US.) Please provide the following information for use in case of a medical emergency: Physician s Name Telephone ( ) Fax ( ) (Please include the country code if number is not in the US.) Medical insurance: Company name: Policy number: Telephone: ( ) (Please include the country code if number is not in the US.) Medications Please list medications (including over the counter medicines) you are currently taking and the condition for which these medications are required. Medication Condition Have you had surgery in the last 12 months? 5

If yes, what physical situation required the surgery? What, if any, physical limitations or health difficulties do you have? Letter of Recommendation Current CTU students do not have to request a Letter of Recommendation. All other participants do. If you are not a current CTU student, please complete the following: I have requested a Letter of Recommendation from Please give that person the two-page form for that purpose that is included here on pp. 7 and 8. 6

Letter of Recommendation Applicant s Name I, the applicant, agree that the recommendation I am requesting shall be held in confidence by officials of Catholic Theological Union, and I hereby waive any rights I may have to examine it. Yes No This person has applied to attend Catholic Theological Union s 2019 Study in Italy program. This is an 8 day program of travel in Italy. It involves adjustment to a foreign culture and to community living, and visits to many religious and archaeological sites. The participant must have an interest in insights about the Scriptures, be able to live cooperatively in community with both men and women and be sufficiently flexible to adjust to new situations and different cultures. The program is physically strenuous, involving a lot of walking on uneven terrain, steep climbs and desert climate. Anyone whose footing is unsure, who is already fatigued, is under psychological stress, has had surgery within six months prior to the beginning of the program, has dietary restrictions or has less than vigorous good health is not advised to undertake this program. In the light of this description, would you please respond to the following: How long and in what capacity have you known the applicant? Please comment on the applicant s capacity to successfully participate in the kind of program described above. Other comments 7

I verify that the information given in this recommendation is complete and accurate to the best of my knowledge. Date Name (please print) Relationship to Applicant Your phone # Your Address City/State/Zip Signature Please return to: Ferdinand Okorie, CMF CTU Study and Travel Programs Catholic Theological Union 5401 S. Cornell Ave. Chicago, IL 60615 USA Office: 773.371.5521 FAX: 773.324.1009 E-Mail: CTUTravel@ctu.edu and cavazos@antonianum.eu 8

Necessary Stamina Please give serious consideration to the following statement and affix your signature below it if you agree that you have the necessary stamina to participate in this retreat. I am aware that this trip requires daily and sometimes lengthy walking, occasionally on uneven ground, in a cold sometimes wet climate. It also involves living cooperatively in a community setting for the duration of the trip. I have the physical, emotional, and mental strength to participate fully and I recognize that it is my responsibility to inform the staff should any health problems arise before or during the trip. (Your signature) Please return completed application with the $250 non-refundable deposit to: Director of Biblical Study and Travel Programs Catholic Theological Union 5401 S. Cornell Ave. Chicago, IL 60615 USA Office: 773.371.5521 FAX: 773.371.1009 Email: CTUTravel@ctu.edu [It is acceptable to email this application with the provision that the signed original of this page be sent to the Director of the Biblical Study and Travel via regular mail. Don t forget to send the $250 non-refundable deposit as well!!!! Make checks payable to Catholic Theological Union. The entire deposit will be deducted from the total cost of the program. If you wish to pay by credit card, please call CTU s Business Office: 773.371.5405. 9