For many college students, spring break means hanging outon the beach and partying with their friends. For ninesenior Clemson nursing students, the spring break of 2008 will be remembered as one with lots of hard work, long hours of travel and service to others. The nursing students tookpart in a medical mission in several rural villages near Macas, Ecuador, through a partnership with Volunteers in Medical Missions. The students received academic credit for the clinical component of community health nursing. Community health nursing utilizes service-learning as a pedagogy for teaching community care, social justice and cultural competence. While all students enrolled in community health nursing participate in service-learning projects, these are usually at the local level.This student group was unique because they implemented their service-learning at the international level.