Fall Applications closed on September 22. This application allows you to apply to be an alternate for Fall Alternative Breaks. Applying here allows us to contact you if a spot becomes available on a break that you are interested in. *
Please indicate that you understand the significance of the Alternate Application.
Name *
Name
Phone *
Phone
Address *
Address
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
School *
Year *
Expected Graduation Date *
T-shirt Size *
University of Kansas Student *
I certify that I am a student at the University of Kansas enrolled in at least 6 credit hours with a GPA of 2.0 or above.
Zero-Tolerance Drug & Alcohol Policy & Liability Release *
I understand that Alternative Breaks has a zero-tolerance drug and alcohol policy while on any AB function. I also release AB from any claims/liability that might arise during any Alternative Breaks activity.
Will you be 21 years old by October 14, 2017? *
Scheduling Conflicts *
Have you ever applied for a week long break before? *
Select any volunteer organizations with which you would be willing to participate. *
Selecting multiple organizations makes it easier for us to place participants on breaks. You will have the opportunity to discuss your top choice below.
Please note, your response below is an important part of your submission in this competitive application process.
Please note, your response below is an important part of your submission in this competitive application process.
Are you interested in being a Site Leader? *
Site Leaders take on additional responsibilities during the trip (e.g. tracking trip expenses, facilitating group dynamics, communicating with housing and the volunteer organization, etc.). They must be available to attend mandatory Site Leader training on Thursday, Sept. 28th and Thursday Oct. 12th from 7:30-8:30pm. For their services, the cost of their Fall Break is $60, rather than $80.
If you indicated that you are not interested in being a site leader, this question may be skipped.
If you indicated that you are not interested in being a site leader, this question may be skipped.
If you indicated that you are not interested in being a site leader, this question may be skipped.
Are you available to attend the Site Leader Training on Thursday, Sept. 28th and Thursday Oct. 12th?
If you indicated that you are not interested in being a site leader, this question may be skipped.
I permit Alternative Breaks at the University of Kansas to review my non-academic misconduct record through the Office of Student Conduct. *
Alternative Breaks reviews non-academic misconduct records for each of its Fall, Winter, Spring, and Summer Breaks. The existence of a record does not preclude an applicant from participation in Alternative Breaks, however, it will be taken into consideration during the selection process.

You will receive an email regarding placements on Sunday, September 25th.