Alternative Fall Break Application
October 5-8, 2017 - Washington, D.C.,or Atlanta, GA,
Email address
Application Deadline is Wednesday, September 13th
Trip Preference 1
Trip Preference 2
First Name:
Your answer
Last Name:
Your answer
Student ID#:
Your answer
Phone Number:
Your answer
Email Address:
Your answer
Year in School:
Ethnicity:
Your answer
Gender:
Your answer
T-shirt size:
Are you an International Student"
Do you plan to apply for travel funds through OIS?
How do you define service?
Your answer
What type of service or volunteerism have you participated in the past? What did you gain from this experience?
Your answer
Why are you interested in doing service over Fall Break?
Your answer
What do you hope to gain personally from this trip?
Your answer
Tell us about a time when you've demonstrated a commitment to diversity and equity and how you hope to apply that commitment during this experience.
Your answer
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