Request edit access
Breaker: Student Application 2019
Please submit your completed application as soon as possible. We will be accepting students on a rolling basis until we've filled the cohort. Thanks for your interest!
Email address *
What is a Breaker? What is a Design Challenge?
The Breaker summer program is a Design for Innovation Boot Camp. Just like in the modern day work world, you will be given a real problem to solve. We will teach you how to use an innovator's toolkit and you will produce a new product, service, program, or product that has financial value, is good for the planet, and good for the community! In these two weeks you will become a social entrepreneur, a change-maker, able to solve big problems with creative new solutions. JOIN US! Please fill out the application below.

Our 2019 Summer Design Challenge will run June 17th-June 28th (M-F).

This is an immersive experience that requires a 10-day commitment. Students will meet from 10am-3:30pm Monday-Friday week 1 and week 2. There will be a "public pitch" on the afternoon of June 28th that families are encouraged to attend.

The challenge will be run out of a space in the Eastside Industrial District (TBA).

You can learn more about our organization at And you find out more about what a design challenge looks like by watching the videos below:

Breaker Future of Food: Design Challenge
Breaker Future of Livable Cities: Design Challenge
Please answer the following questions to apply to our program. The program is free to you. Help us get a sense of who you are and why we want you on our design team.
Have a burning question? Please send it to
First name *
Last name *
Your age *
Current grade level in school:
Your school *
Your address *
Your email address *
Your cell phone number
Parent/Guardian's phone number
How did you hear about us? *
What interests you in being part of a design challenge? *
This year's challenge is from June 17th- June 28th. It's a full 10-day commitment (with a pitch day presentation on the 28th). You will be designing, collaborating, and creating for 6 hours each day. (Don't worry-- you won't be sitting at desks the whole time!) Are you able to make this commitment? If not, what is standing in your way? *
Will your parent/guardians support your being gone each day June 17th-June 28th to participate in the design challenge? (please explain) *
How would your favorite teacher or coach describe you?
Do you have any food allergies, restrictions, or other medical conditions we should be aware of? *
Do you have any specific needs (learning, physical, etc.) that we should know about?
Tell us something interesting about yourself.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Construct Foundation. - Terms of Service