Alternative Spring Break
March 7 – 10, 2016
Dear Student,
Attached to this letter is the application for Alternative Spring Break. Please review the
information below and if you are interested in participating, submit your application by Friday,
February 12, 2016 to Ruthie Hall at ruthie.hall@uwacin.org.
United Way of Allen County, IPFW, and Ivy Tech are partnering to bring a unique opportunity to
college students. Over the course of a 4 day program focused on local social issues, students
will learn about current needs in the community and how they can help make a difference.
Components of the program will include:
 Interactive sessions with local nonprofit organizations to learn about community needs.
 Tours of nonprofit organizations in Fort Wayne.
 Volunteer service projects at local nonprofit agencies.
 Networking opportunities with local nonprofit agencies.
What to know:
 A total of twenty students between the two campuses will be selected through a review
process for participation. (Please Note: Priority will be given to those who have not
participated in the past.)
 You will be asked to participate in a brief interview during the week of February 15-18.
 If selected you will be notified via e-mail by Friday, February 19, 2016.
 You will be required to attend an orientation session on Wednesday, March 2, 2016.
 There will be absolutely no consumption of alcohol or drugs during this program.
 If accepted you will be asked to commit to attend ALL 4 days of the program –
(March 7-10; Monday – Thursday; 9:00a.m. – 3:30p.m.).
 You will be responsible for your own transportation to and from the bus pick up point.
 A light breakfast and lunch will be provided each day.
 You will be expected to participate in daily discussions, reflections, and volunteer
projects.
This program is targeted to students interested in human services, social work, social issues, or
taking independent action to address community needs. If you have any questions regarding
the application or this program in general, please contact:
IPFW:
Ivy Tech:
Debra Barrick, barrickd@ipfw.edu, (260) 481-5471
Christina O'Brien, cobrien22@ivytech.edu, (260) 481-2227
Yusanda Blackmon, yblackmon@ivytech.edu, (260) 480-4220
Alternative Spring Break
Brought to you by United Way of Allen County, IPFW, and Ivy Tech
Application due: Friday, February 12, 2016
Name: ________________________________________________________________
Campus Address: _______________________________________________________
Home Address: _________________________________________________________
Cell: ___________________________ Email: ________________________________
University: ______________________________________________________
Year in School: _________________________ ____ Birth Date: __________________
Major(s):_______________________________________________________________
Please check your t-shirt size: __S
__M
__L
__XL
__XXL
Medical and Emergency Information
Allergies: _____________________ Medical Conditions: ________________________
Emergency Contact Name: ________________________________________________
Relationship: __________________________ Phone: __________________________
Dietary Restrictions or Special Needs: _______________________________________
Please respond to the following questions in 1-2 typed pages.
1. Why are you interested in being a part of this experience and what do you hope
to gain?
2. Please describe any prior service experiences.
3. Please describe your future goals after graduation.
Please submit your application by Friday, February 12, 2016 to Ruthie Hall at
ruthie.hall@uwacin.org.
Agreement of Participation
1. I will cultivate a positive outlook, realizing that cultural conditions may be harsher
and less comfortable than I am accustomed to at home.
2. I will be open and honest with other community members and willing to share
part of my life with them.
3. I will take part in the group’s activities, including meetings before we arrive, while
we are there, and when we return.
4. I will share my experiences, both good and bad, during regular reflection
sessions before, during, and after the program.
5. I will not make decisions that affect the group or the program independently of
the group’s leaders.
6. I will attend each of the days required for this program.
Placing your name after this statement indicates that you have read, understood,
and agreed to abide by all of the above.
Name: ____________________________________
Date: _______________