Keene State College Habitat For Humanity

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Participant Application

Alternative Spring Break 2006

Participant Application

 

 

Name:  _________________________    Date:  _____________________

Campus/Local Address:  ________________      Phone #:  ____________

                 ____________________    Hometown/State:  ______________

Email:  ___________   Class: FR  SOPH   JR  SR  STAFF               

Birthday:  ________________         (Circle One)

Major:  ____________________         Minor:  ____________________

 

I understand and agree to the following guidelines as a participant of the ASB Program:

  1. $50.00 deposit is not refundable under any circumstances.
  2. Withdrawal before December 14, 2005 will entitle you to 50% of your payments, excluding deposit, provided your spot has been filled by someone on the waiting list.
  3. All payments must be paid on time according to the schedule below.
  4. You will be required to attend all trip meetings, participate in all fundraising events, and attend at least one volunteer work project prior to spring break.
  5. The ASB ’06 leadership team has the right to terminate a participant as they deem necessary.

 

All payments will be made to your trip leader on or before the dates listed below.

Trip meeting dates will coincide with the payment dates. 

By signing this application, I understand that I will forfeit my right to participate in the trip if I miss more than two pre-trip meetings and I do not make payments on the time indicated.

 

 

Signature & Date

 

The payment schedule is as follows:

 

Students

Alumni/Friends

10/18

$50.00 non-refundable deposit

$50.00 non-refundable deposit

11/5

$50.00

$70.00

11/29

$50.00

$70.00

12/13

$50.00

$60.00

Total Cost

$200.00

$250.00

 

  1. What do you hope to gain from the ASB Program?

 

 

 

 

 

 

 

 

 

 

 

  1. What can you contribute to the ASB Team (Skills, character traits, ideas, etc.)?

 

 

 

 

 

 

 

 

 

  1. Have you previously participated in community service (besides ASB), either in high school or college?  If so, please describe the kind of work you did.

 

 

 

 

 

 

 

 

 

 

 

 

  1. A group of close friends are planning a spring break trip to the Caribbean and begging you to come.  How would you explain your decision to go on the ASB trip rather than to the Caribbean?  Are there any specific reasons you want to go to a particular site you have chosen?  What factors came into play when you decided to go on an ASB trip? 

 

Please bring application to the Trip Sign-Ups in October

or return it to Don Hayes in the Community Service Office,

3rd floor Student Center

(Please feel free to include any additional information on this application

or on a separate piece of paper)

 

 

 

 



KSC Habitat For Humanity * 229 Main Street * Keene * NH * 03435-3003