AB Executive Board Application 2017-18

DUE Wednesday, April 19, 2017

Alternative Breaks Overview
Personal Information
Name: Name: * First Last
Student ID #: *
Date of Birth: Date of Birth: * / MM / DD YYYY
Local Address Local Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone #: Home Phone #: * - ### - ### ####
Cell Phone #: Cell Phone #: * - ### - ### ####
T-Shirt Size:
Mavs Email address: *
Expected commitments and hours per week, e.g. (work, other organizations, etc...) *
Academic Information
Major: *
Minor:
Expected Graduation: *
Classification *

Classification Freshman Sophomore Junior Senior Graduate student
Hours completed: *
Hours Presently Enrolled: *
Cumulative GPA *
Summer 2017 *
Fall 2017 *
Spring 2018 *
Are you available to work during summer 2017? *
Alternative Breaks Information
Have you previously participated in an Alternative Breaks Trip? *
If so, Which Alternative Break trip(s) did you participate in?
Are you certified to drive a UTA university vehicle? *
If not, are you willing to participate in the process to become certified to drive a university vehicle? *
General Qualifications for AB Executive Board:
Benefits of being an Alternative Breaks Executive Board member:
Executive Board position selection
Director of Alternative Breaks *
Assistant to the Director *
Marketing/PR Coordinator *
Outreach Coordinator *
Alternative Breaks Executive Board Questionaire
1. What do you hope to gain from being a member of the Alternative Breaks Executive Board? *
2. What ideas do you have to improve the Alternative Breaks program? Include any ideas you may have for before, during, and after an Alternative Breaks trip. *
Please attach your resume *

Attach Files
Alternative Breaks Policies and Agreement
Commitment: *
Cancelation Policy: : *
Alcohol/ Drug Free Policy: *
By filling in your name below, you are stating that all of the information listed above is accurate and representative of yourself as a UT Arlington student. By filling in your name below, you are stating that all of the information listed above is accurate and representative of yourself as a UT Arlington student. First Last

AB Executive Board Application 2017-18

AB Executive Board Application 2017-18

Alternative Breaks Overview

Personal Information

Academic Information

Alternative Breaks Information

General Qualifications for AB Executive Board:

Benefits of being an Alternative Breaks Executive Board member:

Executive Board position selection

Alternative Breaks Executive Board Questionaire

Alternative Breaks Policies and Agreement