Pre-Registration Cincinnati Urban Experience
Use this form to begin the process of registering for an Alternative Break with the Greater Cincinnati Homeless Coalition. Once you submit the form, you will be contacted by the Director of Education by email for the link to the Registration Form. Planning will not begin until your non-refundable 25% deposit is received.
Name of person filling out form
Number of Participants
Participant Age Group
College / University
Soup Kitchen (meal prep and/or serving)
Cleaning / Organizing (various social service agencies)
Museum / Arts
Trip Theme (i.e. Homelessness, Hunger, Poverty, Gentrification, Displacement, Hope, etc.)
Possible Educational Activities
Lunch on Food Stamps
Budget Activity / Minimum Wage / Wage Theft
Social Justice Walking Tour
Park and Public Space Walking Tour
Streetvibes Shadow Activity
Solitary Confinement / Death Penalty
Health and Human Services
Demographic Groups you are Interested in Interacting with during your trip
Children / Youth
Families with children
Is there anything else you like us to know to help us plan your trip?
Once you submit the form, you will be contacted by the Director of Education by email with an initial invoice or questions regarding your registration. In the meantime, many answers that you may have can be found in the CUE info pdf:
Planning for your trip will not begin until your non-refundable 25% deposit is received by the Homeless Coalition. You may pay by check and mail it to us at 113 E. 12th Street, Cincinnati, Ohio, 45202. If you choose to pay via PayPal, you must add an additional fee. Please contact the Director of Education to determine all costs before making a payment. Thank you!
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This form was created inside of Greater Cincinnati Homeless Coalition.
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