MIT Alternative Spring Break Participant Application 2017
After completing this form, please submit your resume to alternativebreak@mit.edu. Be sure to include the subject: ASB Participant Resume (Your Name). Your application will not be considered complete until we've received you're resume. The application (including resume) is due Friday, February 17, before 5 pm. All applications submitted after that time will automatically be placed on the wait list. Invitations to interview will be extended after February 17.

**Please note that ASB participants must be willing to commit to 4 mandatory team meetings and the Final Reflection dinner, and be willing to collaborate with on-site team and staff mentors. Volunteering with ASB often involves living in simple conditions (sleeping in sleeping bags on cots or mats in shared group spaces, simple meal preparation), lifting items 50lbs or less, and some physical exertion (whether gardening, weeding, playing with children, walking or traveling local distances). If you have any concerns please feel free to reach out to Sarah Bouchard at sarahbou@mit.edu.

Mandatory team meeting dates:
Mon, Feb 27, 7-8:30 pm
Mon, Mar 6, 7-8:30 pm
Mon, Mar 13, 7-8:30 pm
Mon, Mar 20, 7-8:30 pm
End of ASB Reflection dinner: Wed, April 12, 2017, 6-9pm

First Name *
Your answer
Last Name *
Your answer
MIT ID Number *
Your answer
Cell Phone Number *
Your answer
Local Address *
Your answer
Graduate Student or Undergraduate Student? *
Year of Graduation *
Your answer
Course *
Your answer
MIT Email *
Your answer
Hometown, State, Country *
Your answer
What languages do you speak? (This may help us place you with community organizations that have specific language needs) *
Your answer
Why are you interested in participating in an alternative spring break program? *
Your answer
What (if any) service/volunteering have you participated in before? *
Your answer
Please highlight any other experiences or qualifications that would be relevant to participation in ASB. *
Your answer
Briefly describe how this program will contribute to your career, educational, and/or personal goals. *
Your answer
How did you learn about the MIT ASB program? *
Your answer
I would be uncomfortable with the following arrangements: *
Required
Are there any dietary restrictions that your host would need to be aware of? Pet allergies, food allergies, and/or food restrictions will be considered for placement. *
Your answer
Please list one MIT faculty, staff, GRA, or GRT as a reference (with phone and MIT email) *
Your answer
Please rank your preferences for our trip sites this year. (Community development in Boston, Environment and community in Camden, NJ, Healthcare in Boston ) *
Your answer
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