Alternative Breaks Staley School of Leadership Studies 103 Leadership Studies Building Manhattan, KS 66502 Phone: (785) 532-6085 Fax: (785) 532-6542 E-mail: altbreak@ksu.edu Spring Break Sites: Exploring Socioeconomic Impacts on the Public Education System in Denver, Colorado Evaluating the Root Causes of Homelessness and the Various Programs for Relief in Kansas City, Missouri Collaborative Approaches to Securing Healthcare for People Suffering from AIDS in Dallas, Texas For Academic Year 2015-2016 Name Class: FR SO JU Wildcat ID # Date of Birth: ___/___/______ SR Grad Age: Total hours of college credit completed ________ Are you a U.S. Resident? Cumulative GPA If no, country of residence______________ Major(s) Are you a Kansas Resident? Minor(s) Do you speak a foreign language? Yes E-mail Address If yes, list language(s)__________________ Will you accept any site placement? Yes No Please indicate your site preferences, if any Yes Yes No No No Are you willing to attend weekly site leader meetings and training? Yes No ______________________________________________ _______________________________________ Local Address ______________________________________________________________________________________ (Street) (Apt. #) ____________________________________________________ _________________________________ (City) (State) (Zip Code) Phone: ____________________________________________ Email:______________________________ Signature: ____________________________________________ Date: ______________________________ Alternative Break Participant Application Information Application materials must be submitted via e-mail by February 1st to altbreak@ksu.edu Candidates will be notified via e-mail if they have been selected for interviews Each participant will be assessed $250 for housing, transportation, food stipend, insurance, and administrative fees Alternative Break Participant Requirements The Spring Alternative Break takes place from Sunday, Mar. 13 – Friday, Mar. 18, 2016 Participating in the Alternative Breaks program requires an average of 2 hours a week from February 8 – March 11, 2016 - - - Attend all pre and post break meetings and trainings o 3 team meetings o 1 individual meeting with your site leaders o 1 service-learning intensive o 1 post break reflection Pre/Post break engagement o Be prepared for all team meetings o Foster an openness to creating and sharing new thoughts and ideas o Help support your team’s mission and vision of service and learning On-break engagement o Bring an open mind and be ready to listen authentically to the service partners and your team mates o Maintain an open line of communication with your site leaders o Be ready to be flexible and support the site leaders when things to not go as planned o Support and encourage fellow team members throughout the week Please write a one paragraph response to each of the following essay questions. (Please use extra pages as needed) 1. What values, passions and strengths will you bring to the Alternative Breaks Program? 2. What are some of your goals for participating in Alternative Breaks? Please submit all application materials and any questions to Alternative Break Student Coordinators by February 1st at altbreak@ksu.edu Application Checklist Completed participant application Completed essay questions A copy of résumé