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2015-16 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
Sumner High School
Bellarmine Preparatory School
Eastside Catholic High School
Holy Names Academy
Olympia High School
Roosevelt High School
Seattle Preparatory School
St. Joseph/The VOICE
Other
Graduation Year
*
select one
2016
2017
2018
2019
Did you attend our Information Night on Thurs., Nov. 12th?
*
select one
No, neither myself or my parent attended
No, however my parent did attend
Yes , I attended with a parent
Yes, I attended on my own
Date of Birth - Example: 08/29/2005
*
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- Seattle, WA
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
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 10 years since Hurricane Katrina hit New Orleans. What do you know about the current state of the city?
*
Why do you want to volunteer in New Orleans?
*
What past experiences do you have that will help you as a participant on this trip?
*
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.
*
