Eco-Gap Application Form Your Name (required) Your Email (required) Your Phone Number (required) Your Address (required) [address* your-address] What interests you most about participating in Eco-Gap? (required) Part of the Eco-Gap experience will involve exploring a personal interest related to sustainable living, environmentalism and/or social justice. What are some interests within these realms that you have and would like to explore? (required) Are you especially interested in any of the following? (required) (check all that apply) Green BuildingRenewable EnergySocial JusticeLocal Food and FarmingHealthy EatingPhysical FitnessSpiritualityCommunity LivingActivismVolunteering We are looking for a diverse group of young adults to help us co-create the first Eco-Gap Program. Please tell us about your background and interests and what you think you will be able contribute to the program. Let us know if you have past experience working with groups to organize an event, project, cause, etc. (required) The cost of Eco-Gap is $5,500.00 Would you like to request scholarship funds to help offset the Eco-Gap program costs? If so, please tell us about your personal financial situation and how much funding you would like to request. If not, please say No Funding Requested. (required) ECO-GAP ‘CODE OF CONDUCT’ (required) Your happiness at EcoVillage Ithaca (EVI) will be determined to a large extent by the attitude and behaviour that everyone embodies every day. It will be up to each individual to take care of themselves while also taking into account the success of the whole EVI community (the Eco-Gap students and staff as well as residents of EVI). Together, you will guide and support yourselves in order to ensure the best positive outcomes for all. Participation in the program may present you with personal physical and/or emotional challenges. For this reason it is necessary that everyone’s health and safety are taken into consideration and that certain boundaries are set. At the beginning of the program, the program participants will have the opportunity to reflect on what they would like the group’s Code of Conduct to be. However, there are a few rules that we have put in place to ensure everyone's health, safety, and success. These rules must be followed and any violations will be considered as grounds for dismissal from the program. NO exclusive relationships or sexual contact between gappers. Friendships contribute to the group; couples detract from the group experience. Couples want to get away and there is jealousy and envy. When the relationship goes sour, the tension that develops makes everyone uncomfortable. Intimate sexual activity is not allowed. NO behavior that is disruptive or injurious to yourself or other participants. Harassment or bullying, fighting, discrimination and the use of inappropriate language put others at risk and unravel our commitments to the group. NO possession, use, or distribution of alcohol, tobacco, and/or drugs. Tobacco, drugs, alcohol, or anything illegal are not allowed. LIMITED USE OF TECHNOLOGY. We will be seeking to have a ‘low-tech’ diet and to understand how and when technology best suits our needs. To this end, there will be times of the day and/or activities in which cell phones, computers, laptops, etc. will not be present. You will be sent a copy of this document to sign and return when you commit to our program but in the meantime, please click below if you believe you can agree to this Code of Conduct or let us know if you think it will be a challenge for you so we can discuss it further. Yes, I agreeI think this will be a challenge for me. Is there anything else you would like us to know about you? How did you hear about Eco-Gap? THANK YOU FOR APPLYING. WE WILL BE IN TOUCH WITH YOU VERY SOON TO LET YOU KNOW WE RECEIVED YOUR APPLICATION AND WHAT THE NEXT STEPS WILL BE.