Summer Applications closed on March 10. This application allows you to apply to be an alternate for Summer 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.
General Information
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 will be 21 years old before May 14th, 2018 and would you be willing to serve as a driver for your group? *
More information about driving will be available at interviews and in our class meetings.
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.
Accessibility Information
We strive to ensure that Alternative Breaks is accessible to all students and request some accessibility information for planning purposes only. Questions about accommodation do not affect or influence acceptance into the Alternative Breaks program.
If you included any accommodation requests, please mark "I agree" to acknowledge that you will actively participate with the Alternative Breaks leadership to plan and complete an agreement for reasonable accommodations.
If you did not include accommodation information, you may skip this question
Placement Information
Scheduling Conflicts *
Participation in Alternative Breaks requires the attendance of six class meetings on Thursdays from 5:30-7:00pm beginning March 15, 2018. Though class conflicts do not disqualify you from participating, they will be taken into consideration regarding Break placement.
Have you ever applied for a week long break before? *
Select any sites in which you would be willing to participate. *
(Selecting more sites makes it easier for us to place you, though of course please don't select a site that you would not be 100% willing to volunteer with).
It is possible that certain sites will require volunteers to camp during their stay. Please indicate your experience with outdoor camping. *
Please note, your response is an important part of your submission in this competitive application process.
Please note, your response below is an important part of your subission in this competitive application process.
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, educating group members on your site's respective issue area, etc.). They must be available to attend mandatory Site Leader training on Thursdays, March 15th, April 5th, April 26 from 7:30-8:30pm. Site leaders receive a discount in their program fee, so they pay $270 instead of the full price of $295.
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 a Site Leader Training on Thursday, March 15th, Thursday, April 5th & Thursday, April26?
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.

If you have any questions, please contact kualbreaks@gmail.com.