EmailMe Form - The ALD Well-Being Experience: Denmark 2027

Name *

First Last

Email Address *

Phone

### - ### - ####

Date of Birth *

MM / DD / YYYY

Chapter *

Term (fall or spring) and year inducted into Alpha Lambda Delta *

Academic Major/Minor *

Current Status in Local ALD Chapter *

General member, officer (list specific roles), etc.

Expected Graduation Date (if not sure of the exact date, indicate the 1st of the month) *

MM / DD / YYYY

I am a US citizen *

Yes

If No, what country are you a citizen of

I have a US passport that does not expire before January 2028. *

Yes

No

When traveling abroad, a US passport should be valid for at least six months after the entry or departure date of the country being visited. The US Department of State recommends that Americans check their passport expiration date at least nine months before planning international travel. They also recommend renewing a passport well in advance of travel.

Why are you interested in participating in the Alpha Lambda Delta Well-Being Experience in Denmark? *

What interests you most about Denmark and its approach to well-being, happiness, and community? *

Describe a time when you stepped outside your comfort zone. What did you learn about yourself? *

Speak to your comfort level with the following: *

	Very uncomfortable	Somewhat uncomfortable	Somewhat comfortable	Very comfortable
Traveling internationally
Walking or biking several miles in a day
Sharing accommodations with other ALD members you may not know
Meeting new people
Participating in group discussions

Denmark consistently ranks among the world's happiest countries. If you could bring back one idea, practice, or perspective to improve student well-being on your campus, what would you hope it would be, and why? *

Please share any additional comments here.

Recommendation

Provide the name of your ALD chapter advisor or chapter officer who will submit a recommendation on your behalf. Please ask them to email their recommendation to eileen@nationalald.org by November 15, 2026, briefly explaining why they believe you should be selected to participate.

If you are unsure who your chapter advisor is, consult this list: nationalald.org/chapterlist

We prefer recommendations from someone connected with your ALD chapter. If that is not possible, you may ask another member of your institution’s faculty or staff who knows you well, such as a professor or academic advisor.

Recommender Name *

First Last

If selected, I will be able to send a $1000 deposit to ALD HQ by December 31, 2026 as a deposit to hold my spot. Balance will be due 3/1/27. *

Yes

Only if I receive a scholarship (scholarships are very limited and will depend on demonstrated need).

You must submit a scholarship application for consideration, due November 15, 2026.

You can still apply for a scholarship even if you checked "Yes" above.

Signature
By typing my name below, I acknowledge and understand that this is an immersive group experience requiring flexibility, respect for others, active participation, and a willingness to engage in all scheduled activities. If selected, I will represent Alpha Lambda Delta with professionalism throughout the program. I am aware I need to be available for travel between July 17 and 29, 2027. *