Alternative Breaks Application ASP

Thank you for your interest in Alternative Breaks!

ETSU's Alternative Break program aims to foster a society of active citizens by immersing individuals in education, service, and reflection on various topics and societal issues facing the world today.

During Spring Break, ETSU students will partner with the Appalachia Service Project to support the rebuilding of local homes and community centers, contributing to meaningful work within our region. (NOTE: Prior construction experience is not required.) Through this experience, students will deepen their understanding of Appalachia by learning about disaster response and community organizing, while developing the skills to become more engaged community members and active citizens.

Rebuilding Roots in Appalachia
(Tri-Cities Region)
Sunday, March 15 - Saturday, March 21

Cost: $150/person*
* Need-based support may be available. Please contact communityengage@etsu.edu after submitting your application.

Please complete the application below to begin your Alternative Break journey!

For more information or questions, please contact our team at communityengage@etsu.edu

Name

Preferred First NameLast Name

E Number

E001234567

ETSU Email

bucky@etsu.edu

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Date of Birth

01/01/2001

Classification

What is your major or area of study?

Ex: Public Health or Masters in Counseling

Expected Graduation

Ex: Spring 2024

T-Shirt Size

Do you have any special dietary restrictions? (Ex: Food Allergies, Vegan, Vegetarian, No Pork, No Dairy, etc.)

Please let us know if you have any specific needs or preferences regarding sleeping accommodations (such as gender-specific rooms or a private space)

ETSU's Alternative Breaks program makes every effort to ensure that students with different abilities can participate successfully in AB experiences. Please be aware that we cannot guarantee that facilities or support services will be available at each site in the same range and quality as on the ETSU campus. We encourage students to share with us any requests for accommodations that will best allow full participation in an Alternative Break experience.

Previous Experience and Knoweldge

Please note: the below questions are asked to better gauge a participant's prior knowledge and understanding of topics related to active citizenship and community service. Prior knowledge and experience with these topics are not required for participation in an Alternative Break.

How did you learn about Alternative Breaks?

Have you participated in an Alternative Breaks experience before?

If yes, please describe:

If no, have you ever participated in any other volunteer/community service project(s)? If so, please describe:

What do you hope to gain from participating in an Alternative Break experience?

What personal attributes, character strengths, or skills do you possess that will make you a valuable member of an Alternative Breaks team and contribute to the community in which you serve? If you have specific experience in construction or rebuilds, please feel free to share that here. (1-2 Paragraphs Max)

Please describe your interest and why you want to participate in this trip (1-2 paragraphs max).

Financial Commitment and Cancellation / Refund Policy

The costs associated with this Alternative Break is $150, which includes all components of the experience. The cost covers transportation, lodging, and three basic meals a day for the week. Every effort is made to keep costs for students as low as possible. Details regarding the payment due date will be shared with participants upon acceptance.

If you have any questions or foresee any financial hardship that would prohibit participation in Alternative Breaks, please contact us at communityengage@etsu.edu

I understand that I am obligated to pay the full amount of my trip prior to traveling. If someone other than me (Ex. A parent or guardian) will contribute financially towards my trip, I have spoken with them prior to the submission of this agreement. They are fully aware of my financial obligation.

Please type the date to confirm your acceptance.

Participation Policy

All experiences begin and end on ETSU's campus. Participants are expected to travel and remain with the group at all times for the entire duration of the experience. This includes attending all pre-trip and post-trip meetings and activities. These meetings will be scheduled by your group once selected.

If you have any questions or foresee any hindrances meeting these time commitments, please contact communityengage@etsu.edu

I understand that I am required to attend and participate in all pre-trip meetings, service and educational activities during the experience, and all post-trip reorientation meetings and activities.

Please type the date to confirm your acceptance.

Alochol and Drug Policy

In order to ensure both a safe and impactful experience for all participants, ETSU's Alternative Breaks program has a strict policy regarding the use of alcohol or drugs during any portion of an Alternative Breaks experience including pre-trip and post-trip meetings.

I understand that it is the policy of ETSU's Alternative Breaks program that all participants, site-leaders, and learning partners remain alcohol and drug free during the entirety of the Alternative Break experience. Violation of this policy will result in my termination from the program and may require me to return home immediately, bearing the full financial responsibility for doing so.

Please type the date to confirm your acceptance.

Is there any additional information you would like to share with the Alternative Breaks team?