Alternative Breaks Winter Participant Application

Application Deadline: September 15, 2017
Questions? Contact us at berkeleyaltbreaks@gmail.com!
All current UC Berkeley students with any documentation status are welcome to apply.

Participant Commitments and Responsibilities:

While on the service trip, all participants are expected to adhere to trip guidelines, participant agreements, and Break Leader decisions. Post-trip, volunteers are required to create a scrapbook page as well as get involved in a service/art project at UC Berkeley. Students are also invited to participate in an optional 6-8 hours of service locally after the trip.

Time Commitments

Attend All-Community Meeting: November 15, 2017, 6-8pm at Anna Head Alumnae Hall
Fall DECal: Wednesdays 6-8pm
Service-Learning trip: January 2017 (exact date TBD)

Financial Commitments

Pay a participant fee of $225. This fee cover housing, transportation, and food for the entire week. An initial non-refundable deposit of $100 will be due at the first All-Community Meeting on November 15, 2017.
Paid trip fees are non-refundable.
All winter trips have a $150 fundraising requirement. All participants are required to participate in all fundraising activities to make trips possible.

Participant Stipends

Stipend applications must be completed and submitted along with the participant application. If you have any questions, please email Kristy Cheng at finance.altbreaks@gmail.com. Go here to learn more and apply for participant stipends.

Personal Commitments

Agree and adhere to trip guidelines and participant agreements, including final decisions made by student Break Leaders.
Uphold No Alcohol and No Drug policy for all activities related to Alternative Breaks.
Complete and turn in all trip safety and liability forms.

Selection Timeline

Application Deadline: September 15, 2017
Offers/Decisions: September 19, 2017
Accept Decisions: September 22, 2017

Info Session Dates & Times

All info sessions will be held at the Public Service Center in 218 Eshleman Hall.

September 6, 2017, 5-6pm
September 11, 2017, 6-7pm
September 14, 2017, 4-5pm

Questions? Need more information?
E-mail us at berkeleyaltbreaks@gmail.com
Please DO NOT click “submit” until the entire application is complete!
Incomplete applications will NOT be read!

I. Personal Information

First Name

Please use your full legal name.

Last Name

Non-Berkeley Email

Phone

Birthday (month/day/year)

Student ID (If Berkeley alumni, please enter current occupation.)

Expected Graduation Year

Are you a transfer student?

Are you a first-generation college student, meaning your parents, guardians, or grandparents did not attend college?

What is your major?

What is your residential status?

Hometown

What languages do you speak other than English?

Gender Identity

If you selected “I do not identify with the above options”, or would like to provide details about your gender identity, please do so

Racial or ethnic identity (optional)

If you selected “I do not identify with the above options”, or would like to provide details about your race/ethnicity, please do so

How did you hear about this program?

Would you like to subscribe to the Public Service Center’s monthly newsletter that lists community events, service and leadership opportunities, scholarships, and more?

The Public Service Center is committed to raising funds for those who need it.
Please share your financial aid status with us to help us make this happen. (Please check all that apply.)

Note: 65% of undergraduates receive some form of financial aid

	Not Eligible for Financial Aid
	Financial Aid Eligible
	Work-Study Eligible
	Pell Grant Eligible

Please check if you will be 21 years old by January 1, 2018.

Please check if you will be 21 years old by January 1, 2018 and are willing and able to serve as a driver for the group.

T-Shirt Size

Do you have any dietary restrictions? (Vegetarian/Vegan/Gluten Free)

Affiliation

Did you attend an information session?

Have you participated in Alternative Breaks before?

Which issues are you most interested in learning more about through the DECal and trip?

II. Trip Preferences

Please rank the winter break trips in your order of preference, Trip Preference 1 being your first choice and Trip Preference 2 being your last choice.

Then rate your level of interest for each trip, with 5 being very strong interest and 1 being very weak interest.

Preference #1		Interest Level:
Preference #2		Interest Level:

III. Personal Statement

1. What does “social justice” mean to you? (250 words max)
2. Explain your interest in Alternative Breaks, specifically regarding the trip(s) you are most interested in. Include what you hope to learn and gain from your participation in the Alternative Breaks program, and how you will use these lessons and skills towards advocating for social justice in your future. (250 words max)
3. Please list any personal qualities or experiences (academic, service-related, work-related, etc.) you have that are relevant to your first and second trip preferences or the program as a whole. Please note that previous experience is not a requirement; participants with little experience and lots of passion are equally desired as those with lots of experience. (250 words max)

I have read all participant responsibilities and agree to these conditions if selected for the Winter service trip.

I have completed all required fields and answered all questions in the personal statement.

Before you submit your application, make sure all required fields have been completed. We will NOT review applications that are incomplete. Questions can be directed to berkeleyaltbreaks@gmail.com.