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Alternative Spring Break 2009 Application

Selection Timeline

Tuesday, November 3 at 4:30pm — Application due to SLIC Desk, Reeve 105 (Applicants must sign up for an interview at this time)
Wednesday, November 4 — ASB Trip Interviews
Friday, November 6 by 3:00 pm — ASB Trip Participants notified via e-mail
Friday, November 13 by Noon — ASB Participants must pay $100 deposit
Failure to pay deposit will remove individual from the trip

Selection Criteria

Selection will be based off the ASB Trip Application and Interview
This trip is a joint venture between Reeve Union and Residence Life, as such, there are several outside factors considered during selection.
Applicants must have a cumulative 2.5 GPA (Freshmen should list High School GPA)
Having a record of the following will remove an applicant from consideration:

Violent or Drug Crimes on CCAP
Campus or Residence Hall Disciplinary Probation
Illegal Drug Violations
Violent Conduct Violations
Sex Crimes
Other Incidents that Raise Concerns

Applications Available Wednesday, October 21, 2009

Information Meeting: Reeve 307, 5:30 p.m. & 8:30 p.m.

http://reeve.uwosh.edu/get-involved/volunteerism

Applications Due

Tuesday, November 3, 2008 4:30 p.m. to the SLIC Desk, Reeve 105

ASB Trip Payment Timeline

$100 due Friday, November 13

$100 due Friday, December 11

Final Payment due Friday, February 26

Please direct all questions to Mike Lueder, Program Advisor for Volunteerism and Late Night (luederm@uwosh.edu) or Kelly Melvin, North Scott Assistant Hall Director (melvik86@mio.uwosh.edu)

Application

Name (Required)

Campus or Local Address (Required)

Phone (Cell) (Required)

Email (Required)

GPA (Required)

Cumulative (High School Cumulative if Freshman)

Year in College (Required)

1, 2, 3, 4, etc

Student ID (Required)

Major (Required)

Gender (Required)

Date of Birth (Required)

Are you 21 and willing to drive?

I am interested in being selected as a Student Trip Leader

If yes, you will need to answer question #4 below

Written questions

Please answer the following questions as completely as possible.

1. What do you hope to learn from participating on an Alternative Spring Break trip and what change do you hope to bring about as a result of your involvement? (Required)

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2. Teamwork and group dynamics are an important part of an Alternative Spring Break. What skills do you possess that will contribute to the team's success? (Required)

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3. What role does or has volunteerism played in your life? (Required)

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4. What leadership experiences have you had that have prepared you to lead your peers? How will you use those experiences as a student trip leader?

Only answer if applying to be a Student Trip Leader

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If selected, I agree to:

Pay the entire Alternative Spring Break fee, even if I do not attend for some reason.
I acknowledge that if I use drugs or alcohol while on the trip, I will be sent back to UWO immediately - at my own expense.
If selected, I acknowledge I must provide proof of insurance and other medical information as needed.
My final payment for this trip will be due on Friday, February 26, 2010.

By filling out this form, you agree to allow the Alternative Spring Break Advisors to check your university discipline records, enrollment status, and Grade Point Average.

by schlij70 — last modified Oct 26, 2009 03:32 PM