Alternative Break

GENERAL INFORMATION FOR SPRING 2010 PROGRAM

Alternative Break

Alternative Break is a student-managed organization, which endeavors to provideservice-learning experiences to the Carnegie Mellon community. Alternative Breakaccomplishes this goal by planning student trips that involve participating in experientialservice-learning opportunities, pre-departure educational sessions, academic credit, and outreach sessions to share these experiences with the larger campus and regionalcommunity. Previous Alternative Break trips include Immigration Studies in the UnitedStates and Mexico border region, Hurricane Relief in the Gulf Coast,Environmentalism and Spanish Culture at the Congal Biomarine Reserve in Ecuador, and Native culture in Peru.

Spring 2010 International Program:

We will be going to the Dominican Republic towork with a local orphanage and volunteer in an elementary school for the week of March 6th to March 13th, 2010 (Spring Break). We will be going through anorganization called Orphanage-Outreach that has hosted many college studentson past Spring Break trips. It will take place in the province of MontiCristi in northwest DR. The mission of orphanage-outreach is to provideopportunities to orphaned, abandoned, and disadvantaged children. Ourvision is to be a part of this mission and make a difference in the lives ofyouth and learn from these children as we observe the inequalities withinLatin America through first-hand experience. There are no limits on theservice opportunities available to participants as they serve and educateyouth within these communities.

PARTICIPANT APPLICATION

Please submit completed applications to the Alternative Break mailbox #44 in the

University Center or email to . Applications will be accepteduntil Friday November 6, 2009 at midnight.

Contact Information:

First Name:______Country of Citizenship:______

Last Name:______Passport Number (Visa):______

Date of Birth:______Email:______

Gender:______Phone: (cell):______

Academic Information: Language Proficiency:

Andrew ID:______I am fluent in:______

College:______I am conversational in:______

Major(s):______I have basic knowledge of:______

Minor(s):______

Year of Graduation:______

Alternative Break Information:

Have you applied for a trip before? (Circle one): Yes No

If you answered yes, what trip(s) did you apply to?______

Have you been on a trip before? (circle one): Yes No

If yes, what trip(s)?______

Short Answer Questions (Please respond in one paragraph or less.)

  1. Why do you wish to participate in this trip? Do you have any thoughts about the Domincan Republic/Latin America?
  1. What skills, abilities, or knowledge will you bring to the team?
  1. What do you hope to gain from the experience?
  1. How do you hope to impact the Carnegie Mellon community upon return from the

trip?

  1. Have you travelled outside of the United States? If so, Where? Why?
  1. Do you have any experience working with kids? Explain.

8. Is there anything you would like to share which has not been requested elsewhere

on this application?

Carnegie Mellon Policy

9. Alternative Break is an organization partially funded by Carnegie Mellon and

through various grassroots fundraising. When participating with Alterative Break, we always represent Carnegie Mellon whether on or off campus and expect you to support, hold paramount, and agree to the Carnegie Mellon Community Standards (which can be found on the Hub) at all times.

Do you agree to uphold the Carnegie Mellon Community Standards when participating with Alternative Break? (Circle one): Yes No

10. By Signing below you agree that all information provided is true to the best of your abilities?

Signature:______Date:______

Applications are due Friday 11/6/09 at midnight to UC mailbox 44 or emailed to