WKU HABITAT 2014 Winter Break Trip (Jan. 19th-25th)

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This is an Alternative Winter Break trip application. We will be leaving Sunday evening January 19th and coming back on Saturday January 25th. The cost for the trip will be $150 for members and $260 for non-members. This covers food, lodging, affiliate dues, insurance and transportation.

Remember there is absolutely no alcohol allowed on this trip.

-Partial scholarships available for members please inquire in application in other information section.
-This form must be submitted by November 12th.
-We will let you know the results by November 15th.

Payment Plan:
-Full Payment is due by December 11th.
-Half Payment:
First half of payment due November 22nd
Remainder of payment due December 11th

First Name *

Last Name *

Age *

Local Address *

Just put dorm name if you live on campus

Local Phone Number *

Year in school *

E-mail *

T-shirt size *

No extra cost for these shirts

Major *

Minor

Hometown, and state *

Have you ever been on a volunteer trip before? *

If Yes where and when?

Why would you be interested in going on a trip with Habitat for Humanity Campus Chapter? *

Have you worked with the campus chapter before, if so what are some of the activities you have participated in? *

How would you handle a potential conflict between another participant on a trip of this nature? *

This trip is not only about building a house, but also growing as a person. To assist in that aspect we usually have some sort of inspiration, or thought for the day before we get started on the worksite and then end the day with a closing meeting with some kind of reflection time. How do you feel about this? Would you be open to participate? Would you like to lead the reflection? *

What are your feelings on living simply? *

sleeping on couches, no make-up, no steak dinners etc.

It will be necessary to have a few group meetings prior to this trip. Please inticate times you are available. *

There are 12 avilable spots for this trip. Please discuss why you would be a good addition to the team. *

What types of activities would you like to be involved in with habitat before and after the trip? *

Would you consider being on a waiting list for this trip? *

Please list any other campus activities or organizations you are involved in.

Honors program, Fraternity or Sorority, culbs, etc.

Please list any dietary or accommodation needs. *

Vegitarian, food allergy, etc.

Are you CPR/First Aid certified? *

Are you a leader or a follower? *

Is there anyone you would prefer to be on a trip with?

If there is any other information that you feel is revelent please let us know

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