Gap Year Refistration Form | FreeSpiritExperience

Gap Year Application Form

About Us

Our goal is to support you on a process of discovery and personal growth. Free Spirit is a "challenge by choice" program where every participant willingly contracts to participate and engage with the staff and group members throughout the program.

About the form

Please take your time going through the following questions. We would love to get to know you better and prepare for your arrival. All the information provided is confidential and will be used to learn to know you better. Also, we are happy to discuss any questions, concerns, or important information you want to share with us verbally.

Details about yourself

Some information about you

First Name

Last Name

Gender Identiry

Date of birth

Phone

Street Address

City

Region/State/Province

Postal / Zip code

Who else lives with you?

Please list a few of your talents or things you are good at (you may list things you used to be good at when you were younger, if you are not sure about right now):

Your preferences

Tell us about your ideal friend – what is important to you in the person you may share a few weeks with during our program?

What are some of your favorite foods?

Your personal reason for joining us at Free Spirit

What are the main goals you would like to achieve during your stay at Free Spirit?

What is your greatest personal challenge (something you constantly try to cope with)?

Thinking about your development and growth, how can our staff be of help to you in moving forward and achieving your goals?

What are your main strengths that have helped you overcome difficulties in the past?

What are your passions? What do you love (hobbies, activities, foods, or anything else)?

What were your various dream jobs/careers as you were growing up?

General needs and accommodations

You may choose to answer these questions on your own or ask your parents if it is easier. Questions about your medical health and medications will come later on. At this point, please take a moment to help us understand and prepare for possible accommodations that we may need to provide.

Please tell us a little about your relevant treatment history (diagnosis, history of therapy or treatments, strengths and challenges, etc.)

Are there any physical or medical conditions that may affect your participation in our diverse activities, including hiking while carrying a backpack, rappelling, horseback riding, swimming, sailing, and other physical activities?

Do you have any dietary restrictions, medical or elective that we should know about? (Please detail what for, severity and treatment)

Please list any medications you take on a regular basis

Thanks for submitting!

Other accommodations or issues we may need to pay attention to in order to provide a safe and healthy environment for you

Your Signature