Trip Leader Application - Alternative Break University of Wisconsin Oshkosh

Name*

First Last

Preferred name and/or pronouns

Email*

Use your @uwosh.edu email

Enter Email Confirm Email

Student ID*

Current Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Year at UWO*

Major/Minor*

Cumulative GPA*

If you are a freshmen list your high school GPA

Past Alternative Break Participant*

Yes
No

class standing*

Will you be available to meet during January Interim?*

Yes
No

T-Shirt Size*

Which best describes you?*

International student
Domestic student (US Resident)

Trip Preference

What issue do you feel most passionate to learn about?*

Immersing yourself on an Alternative Break trip is all about learning more on a specific issue a community is facing.

Community Building: Memphis
Education and Privilege: Honduras

Hidden

If you are not selected as a trip leader, please select any other trips you are interest in participating in*

Service and Leadership: North Carolina
Diversity and Inclusion: Atlanta
Hurricane Recovery: Puerto Rico
Education and Privilege: Honduras
Not interested in being a participant

If you are applying for Honduras, do you have a passport?*

Yes
No
N/A

Questions

Tell us your Titan Story. What events, organizations, people, or other experiences have shaped your time in college or journey to college?*

How are you currently involved on campus (this can include clubs, teams, on campus work)?*

Being a trip leader will require you to attend several training sessions and to prepare information for your group. How do you plan to balance your other responsibilities/activities with your responsibilities as a trip leader?*

Provide an example of when you were pushed outside your comfort zone and how the experience impacted you.*

Thinking about those times when you have worked as part of a group or team to accomplish something, what role do you prefer to take on? How do you approach this role as part of a team?*

What specific experiences or skills make you an effective leader for this particular trip? You may choose to discuss your previous leadership, personal experiences with the issues at hand, and/or any other relevant skills.*

How have you helped mediate a conflict between peers?

Do you have any questions or concerns about the trip or the alternative break process?

Reference

Name*

First Last

Phone*

Email*

Enter Email Confirm Email

Signature*

To sign type your full name with s/ before it