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 January 7th, 2017? *
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 volunteer organizations with which you would be willing to participate. *
(Selecting more organizations makes it easier for us to place you, though, of course, please only select organizations that you will be committed to engaging and actively volunteering with. You will have the opportunity to discuss your top organization choice below).
A few of the sites will require volunteers to camp during their stay. Please indicate your level of comfort with outdoor camping. *
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, maintaining positive group dynamics, communicate with housing and the non-profit, etc.). They must be available to attend mandatory Site Leader training on Thursday, October 13th from 7:00-8:30pm. 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.
Are you available to attend the Site Leader Training on Thursday, October 13th from 7-8:30pm?
If you indicated that you are not interested in being a site leader, this question may be skipped.

After you have submitted your application, please sign up for an interview slot on October 3rd or October 5th. 

You will interview in a small group with one or two other applicants. Interviews will be held in the Alcoves rooms of the Kansas Union. You will receive an email with information regarding where to check in for your interview on Saturday, October 1st.

The signup for interviews can be found here.