Home Blog Previous Trips 2019 Puerto Rico 2019 National Parks 2019 North Carolina 2019 St. Louis 2019 Honduras 2019 2018 Honduras 2018 Guatemala 2018 New Orleans 2018 New York City 2018 National Parks 2018 2017 North Carolina 2017 New York 2017 Guatemala 2017 Honduras 2017 2016 Guatemala 2016 Honduras 2016 New York 2016 St. Louis 2016 2015 New York 2015 Guatemala 2015 New Orleans 2015 Honduras 2015 2014 Honduras 2014 Guatemala 2014 New York 2014 Washington, D.C. 2014 2013 Guatemala 2013 Honduras 2013 New Orleans 2013 New York 2013 Washington, D.C. 2013 Trip Participant Application Name* First Last Preferred Name and/or Pronouns Email*Use your @uwosh.edu email Enter Email Confirm Email Student ID Number* 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 GPAPast Alternative Break Participant* Yes No Year in School* Freshman Sophomore Junior Senior Which trip are you interested in attending?* Honduras Memphis Either HiddenWill you be available to meet during J-term?* Yes No HiddenT-Shirt Size* Trip PreferencePlease indicate your level of interest in each trip, 1 being highly interested. If you are not interested in a certain trip select N/I.HiddenHurricane Recovery: Puerto Rico*This trip will be traveling by air. No passport is required. Approximate cost: $13001234N/IHiddenDiversity and Inclusion: Atlanta*This trip will be traveling by van to it's destination. Approximate cost: $40012345N/ICommunity Building: Memphis*This trip will be traveling by van to it's destination. Approximate cost: $63012345N/IEducation and Privilege: Honduras*This trip will be traveling by air. A passport and vaccination's will be required. Approximate cost: $200012345N/IHiddenIf you are not selected for your top trip choice, are you still interested in going on a trip? Would you like to learn more about the other opportunities?HiddenFlying tripsDo you have a valid passport? (Honduras Only)* Yes No If you have traveled internationally, where? If you speak Spanish, at what level?Spring Driving TripsDo you have a good driving record?* Yes No Are you willing to drive a rental van?* Yes No QuestionsWhat motivated you to apply to participate in an Alternative Break trip?*What do you hope to learn from this experience?*HiddenWhat change do you hope to bring about as a result of your involvement?*How are you currently involved on campus?*This can include clubs, teams and on campus work.HiddenWhat strengths do you possess that will contribute to the team's success?*Looking at the trip you ranked as your #1 trip, tell us why you are interested in attending that trip?*Let us know if you have any questions or concerns about a trip or the process.Signature*To sign type your full name with s/ before it Δ
