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
Winter 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 Fort Worth, Texas
Gaining Empathy and Understanding for Native American Populations in Talequah, Oklahoma
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
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Application materials must be submitted via e-mail by October 16th to altbreak@ksu.edu
Candidates will be notified via e-mail if they have been selected for interviews
Interviews will be conducted October 19-23
Each participant will be assessed $250 for housing, transportation, food stipend, insurance,
and administrative fees
Alternative Break Participant Requirements
The Winter Alternative Break takes place from Sunday, Jan. 3 – Friday, Jan. 8, 2016
Participating in the Alternative Breaks program requires an average of 2 hours a week from
October 28 – December 11, 2015
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Attend all pre and post break meetings and trainings
o 4 team meetings
o 1 individual meeting with your site leaders
o 1 all-day service-learning intensive on Sunday, November 15 from 1-5pm
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 Rebecca Jenkins by October 16th at
altbreak@ksu.edu
Application Checklist
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Completed participant application
Completed essay questions
A copy of résumé including two references
Schedule of availability from October 26 – Dec. 11