2019 Alternative Spring Breaks will take place March 10-16, 2019.

This application serves as a way for us to get to know you better, so be honest and thorough in your responses!

Name *
Name
Phone *
Phone
Address *
Address
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
School *
Year *
Expected Graduation Date *
Will you be 21 years old before March 10, 2019? *
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 *
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.
Scheduling Conflicts *
Have you ever applied for a week long break before? *
Select any sites in which you would be willing to participate. *
(Selecting more organizations makes it easier for us to place you, but please only select organizations that you will be committed to engaging and actively volunteering with. You have the opportunity to discuss your top organization 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.
Please note, your response below is an important part of your submission in this competitive application process.
A few of the sites will require volunteers to camp during their stay. Please indicate your experience with outdoor camping. *
Site Leader Questions
Are you interested in being a site leader? *
Site Leaders take on additional responsibilities during the trip (e.g. tracking trip expenses, maintaining positive group dynamics, communicating with housing and the non-profit, etc.). They must be available to attend a mandatory Site Leader training following the first class meeting. They pay only $245 for the trip instead of $270.
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 you are not interested in being a site leader, this question may be skipped.
Are you available to attend the Site Leader Trainings on Thursday Jan. 24th, Thursday Feb. 7th & Thursday March 7th ?
If you indicated that you are not interested in being a site leader, this question may be skipped.
Non-Academic Misconduct Review
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.