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2005/06 Alternative Spring Break Participant Application
Spring Break: February 25th-March 5th, 2006
Name_______________________________________________________________ MI___________
Campus Box:__________________ Phone:___________________ Email Address________________________________
CSB student_____ SJU student_____ Major(s)________________________________________________
Class Standing (please circle one) First Year Sophomore Junior Senior |
How did you find out about the ASB program? (please check all that apply)
Friend____ RA____ Info Session____ Posters/Table Tents____ Email____ Other____ (please describe)
|
Are you an education major trying to fulfill a clinical requirement? Yes_____ No_____
If so, which Education program are you in? * Secondary # K12 # Elementary
|
Have you participated in past Alternative Spring Break Service Trips? Yes_____ No_____
If yes, name of site(s) and year(s) of participation:___________________________________________________________
_____________________________________________________________________________________________________
Other service experience (if any):_________________________________________________________________________ |
Please indicate a T-shirt size for your amazing ASB T-shirt: S M L XL
Applications are due Tuesday, October 25th by 4:30 p.m. Late applications (those received after 4:00) will be deferred to the waiting list. |
Potential Driver Information
If 21 or older as of February 25th, 2006, and have a valid driver’s license and are an acceptable driver according to description below, would you be willing to attend a defensive driving course and drive a van during your ASB trip?
YES NO Driver’s License #/state: ________________________ Date of birth: _________________
Please rank six or more trips that interest you. We try our best to accommodate your top choices, but that is not always possible. Please note that you will interview with one of your top four choices.
Education and Youth Issues
___ Maytown Learning Center - Maytown, KY
___ Operation Breakthrough - Kansas City, MO (Infant to 14 years) # *
___ Jonah House - Baltimore, MD and Washington, D.C.
___ Des Moines Catholic Worker – De Moines, IA
___ Amate House - Chicago, IL
Housing Restoration
___ Glenmary Home Missioners - Vanceburg, KY
Hurricane Relief
___ Three Trips – location TBD
Environmental and Cultural Issues
___ Ghost Ranch - Abiquiu, NM
___ Cherokee Nation Early Childhood Unit – Tahlequah, OK (Infant to 5 years) #
___ Cumberland Trail Conference - Crossville, TN
International
___ San Lucas Mission - San Lucas Toliman, Guatemala
*note that an additional $150 deposit is due by Friday, November 3rd (non-refundable)
Please be complete in your responses and feel free to use the reverse side if needed.
International trip applicants will be contacted late October to schedule an interview.
Domestic trip applicants will be contacted early November to schedule an interview.
1. A group of your close friends are planning a Spring Break trip to Cancun. They really want you to join them and ask you to explain why you want to participate in ASB instead. Give your response, citing at least two reasons.
2. Within the context of ASB, what does it mean to be a contributing group member?
3. What would you like to accomplish or learn in one week? What qualities and/or skills do you possess that would help you accomplish this?
4. What are two things you like about working in a group?
5. What are two things you find challenging about working in a group?
6. While working at your ASB site, you hear another participant make a derogatory comment towards someone because of his or her race, socio-economic status, orientation, religion, etc... How do you react?
7. What does quality community service mean to you?
8. Is there anything else you would like us to know about you?
Signature ___________________________________________________________________
Signing here signifies that you understand that if you are offered a trip and accept, the $40 down payment is NON-REFUNDABLE. The money ensures some commitment from you to a service trip.
Please return this completed application with a $40 deposit to the CSB Campus Ministry Office (150 Murray Hall, HCC). Checks should be made out to the College of St. Benedict.
If you have questions, feel free to call the Campus Ministry Office (5603), Carla Durand-Demarais (5074), or email us (springbreak@csbsju.edu).
Check out our website http://www.csbsju.edu/csbcampusministry/Spring%20Break/SpringBreak.htm
for more information about the ASB program and to see pictures from past trips!
For office use only: Date Received:________ Payment: check # ____ cash _____ Initials:
A week of service. A lifetime of change.
“The best way to find yourself is to lose yourself in the service of others.”
~Mahatma Gandhi