Community Outreach


Alternative Winter Break Application

* Required information
Full Name: *
Student i.d. #: *
Gender: *
BW Email Address: *
Phone Number with area code: *
BW or local address: *
Permanent Address: *
Year at BW: *
Major & Minor: *
Do you have a valid driver's license? *
Are you certified to drive the BW vans? *
How did you find out about AWB? Please check all that apply:  Summer Orientation    Student Involvement Fair    OCO Expo    Fliers    Trip Leader    Campus Bulletin    RA    Friend    Professor    Staff    Other  
If someone referred you, please provide their name:
T-shirt size: *
Have you participated in an OCO Alternative Break trip before? If so, where did you go and when? *
Why are you interested in AWB? *
Please discuss your previous and current experience in community service and volunteer activities: *
What impact do you hope this experience will have on you? *
What is one thing you like about working in a group and one thing you find frustrating? *
Applicants with Alternative Break Experience Only - what would you do differently if selected for this trip? In other words, what would you change about your participation before or during the trip?
Being an Alternative Break participant requires time, energy and commitment. By submitting this application, you are agreeing to invest that time, energy and commitment if selected to be a participant. You will commit to attend AWB events, including a Fall retreat and group meetings. Further, you understand that if you miss group meetings, you may be replaced.
All students participating in AWB must pay a $100 deposit by Friday, October 24th. The balance is due on Friday, December 5th.
Release to check records: by checking yes, you are providing your electronic consent for release to check conduct and academic records. Serious violations or multiple violations of university policy may jeopardize your eligibility for participation. Students are also expected to be in good academic standing to participate in AB trips. The judgment of the OCO Staff on this matter will be final. This information will remain confidential and will be used for official purposes only.
I hereby give my consent for the OCO Director to check my records as indicated in the above statement: *
AWB interviews will take place September 30 - October 2. Please check all times that you ARE available. Please be as flexible as possible. We are not able to interview everyone during Community Hour.
Interview Availability - Please check times you ARE available:  9/30 - 12:00pm    9/30 - 12:15pm    9/30 - 12:30pm    9/30 - 12:45pm    10/1 - 5:30pm    10/1 - 5:45pm    10/1 - 6:00pm    10/1 - 6:15pm    10/1 - 6:30pm    10/1 - 6:45pm    10/2 - 12:00pm    10/2 - 12:15pm  
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