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NOLA Trip Application
Student Volunteers
Applicant Information
Name
*
First Name
Last Name
Preferred Name
The name your teachers call you.
Gender
*
select one
Female
Male
Mobile Phone
*
or best phone number to reach you.
Email
*
Please choose an email that you check regularly.
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
High School
*
select one
Bellarmine Preparatory School
Eastside Catholic High School
Holy Names Academy
Olympia High School
Roosevelt High School
Seattle Preparatory School
St. Joseph/The VOICE
Bishop Blanchet
Sumner High School
Other
Graduation Year
*
select one
2018
2019
2020
2021
Other School
Please specify.
Date of Birth - Example: 08/29/1992
*
Please be sure correct YEAR of birth displays.
Current Age
*
T-Shirt Size
*
select one
Small
Medium
Large
X-Large
2X-Large
3X-Large
4X-Large
Race or Ethnic Identity
*
Please check all that apply.
Hispanic or Latino
White (not Hispanic or Latino)
Black or African American
Native Hawaiian or Pacific Islander
Asian
American Indian or Alaskan Native
I do not wish to Self-Identify
Which Grade School/Middle School did you attend?
*
Example School- City, State
Will You Be Filling Out A Scholarship Application?
*
Yes
No
Parent/Guardian #1 Contact Information
Parent/Guardian #1
*
Prefix
First Name
Last Name
Suffix
Mobile Phone
*
Secondary Phone
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Parent/Guardian #2 Contact Information
Parent/Guardian #2
Prefix
First Name
Last Name
Suffix
Mobile Phone
Secondary Phone
Email
Verify Email
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Trip Information
First preference for volunteer trip?
*
Please select week of your school break OR Summer Trip.
select one
Mid-Winter Break: Feb 17-24, 2018
Spring Break #1: March 24-31, 2018
Spring Break #2: March 31- April 7, 2018
Spring Break #2: April 1 - April 8, 2018
Summer Break: June 23-30, 2018
Second preference for volunteer trip?
*
Please select week of your school break OR Summer Trip.
select one
Mid-Winter Break: Feb 17-24, 2018
Spring Break #1: March 24-31, 2018
Spring Break #2: March 31- April 7, 2018
Spring Break #2: April 1 - April 8, 2018
Summer Break: June 23-30, 2018
Short Paragraph Responses
We recommend you type your responses in a word/text document, then paste answers into respective field in case of any technical difficulties when you submit.
It's been 12 years since Hurricane Katrina hit New Orleans. What do you know about the current state of the city?
*
What does home mean to you? Why do you want to help others move home?
*
What do you hope to gain from participation in one of our immersion trips?
*
Have you had an opportunity to volunteer in your local community this past year? Tell us about your experience(s).
*
What is a unique quality you bring to a team/group environment?
*
Who in your life has influenced you the most? Please explain why this person has been so influential in your life.
*
Please tell us about your previous trip(s) and what you would like to experience on this trip.
Is this your first trip with Shirts Across America?
*
select one
Yes
No
