Name *
Phone *
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 11, 2020? *
T-shirt Size *
Do you consider yourself a non-traditional student? *
What gender do you identify as? *
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 an 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 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).
A few of the sites will require volunteers to camp during their stay. Please indicate your experience 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, March 26th from 5:30-7:00pm. They pay only $290 for the trip instead of $325.

After you have submitted your application please sign up for an interview slot September 30 - October 1. 

Sign up for an Interview HERE.

You will receive an email with information regarding where to check in for your interview on Saturday, March 7th.
All interviews will be held in the Kansas Union.