Habitat for Humanity
Spring Break Collegiate Challenge Application – March 2009
DEADLINE*(email me if you have a problem meeting this, we can work something out for
sure): Please submit to brown.habitat@gmail.com by email by January 1st, 2009
I. Past Participation:
Have you participated in any past service or disaster zone relief trips (Katrina Service Trips,
Habitat, Church Trips)?
If so, which one(s)?
II. Student Information:
Name: Class:
Banner #: Concentration:
Cell Phone: Box #:
Home Address:
Home Phone:
E-Mail address
For emergency use only:
Parent or Guardian Name:
Parent or Guardian Home Phone:
Parent or Guardian Work/Office Phone:
III. Questionnaire:
Please answer these questions (typed responses preferred).
1. Discuss any skills you have in the following areas: communication, finance,
logistics/coordination, education/training, reflection, fundraising, campus outreach.
2. What experience or knowledge, if any, do you have with the type of community
organization you will be working with (e.g. homeless shelter)?
3. Please list extra-curricular activities you will be involved in while planning for the
service trip (Spring 2008), and include the approximate number of hours/week that each
activity requires.
IV. Short Essay (No more than 500 words):
What drew you to this particular trip and what are your motivations? In what way(s), either
immediate or eventual, do you hope this trip will be valuable to you and the team?
V. Leadership
Are you interested in being a leader for the Spring Break Collegiate Challenge Trip? If not,
please skip to section VI.
Please answer these questions, if interested in being a leader for the trip (typed responses
preferred).
1. Why do you think community service is important?
2. Describe your leadership and facilitation experience.
VI. Please initial each item, where possible and sign at the bottom:
__________ I have a valid driving license, and can also drive stick.
__________ I would like to play a primary role in organizing the trip. This will include
organizing meetings for the group, fundraising, and being in contact with Habitat
for Humanity International (signing paperwork, sending in checks, etc.)
__________ I certify that the information I have provided is accurate and complete to the best
of my knowledge.
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