Livingston CARES: Application for Alternative Break Trip
In order to register for a Livingston CARES trip, please read and follow instructions carefully and be sure to complete all three forms:

Form #1: Volunteer Information For Livingston CARES Trip Participants

Form #2: Volunteer Skills Form for Livingston CARES Trip Participants

Form #3: Medical Information For Livingston CARES Trip Participants
Email address *
Please state your name as it appears on your driver's license, passport, or other government-issued ID. *
**Please note: A student ID is not acceptable since it is not a government-issued form of I.D. Your name has to be absolutely correct as it appears on the government-issued document that you will present at airport screening. We will use the name you indicate here when we purchase airline tickets. EXAMPLE: Jane Doe Smith or Jane D. Smith or Jane (none) Smith, depending on what is on your I.D.
Your answer
Please state your lived name.
Skip this question if it is the same as the one stated above.
Your answer
Please state your date of birth. *
MM
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DD
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YYYY
Please state your cell phone number. *
Your answer
If you are a Geneseo student, please state your G-number.
**If you are a faculty, staff, or community member, please disregard this question.**
Your answer
Which trip, and in which month, do you wish to attend? *
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