The document is an application for a medical service trip to Ecuador from March 10-18, 2012 organized by Purdue Timmy Global Health. The all-inclusive cost of the trip is approximately $1,800. Applicants must submit the application by September 30th and include a photo. If accepted, participants will be required to commit to three donation days in the fall of 2011 and spring of 2012 to collect supplies for communities in Ecuador. Interviews for the trip will be held on October 6th and 7th.