Winter Applications closed on September 28. This application allows you to apply to be an alternate for Winter 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 *
Will you be 21 years old before January 7th, 2018? *
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.
Scheduling Conflicts *
Have you ever applied for a week long break before? *
Are you applying as a member of MedLife and interested in participating in the MedLife trip through Alternative Breaks? *
This season, Alternative Breaks is partnering with MedLife to offer an opportunity for ethical service for its members.
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).
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 may require volunteers to camp during their stay. Please indicate your level of comfort with outdoor camping. *
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 Oct. 12th, Thursday Oct. 26th & Thursday Nov. 20th from 7-8:30pm?
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.