Shirts Across America · 2019-20 Student Volunteer Trip Application- Seattle Prep

Student Applicant Information

Name

*

First Name

Last Name

Preferred Name

The name your teachers call you.

Mobile Phone

*

or best phone number to reach you.

Email

*

Please choose an email that you check regularly.

Verify Email

*

Date of Birth - Example: 08/29/1992. Please be sure your correct YEAR of birth displays.

*

(mm/dd/yyyy)

Age

*

Gender

*

This is what is indicated on your identification or passport.

High School

*

T-Shirt Size

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Parent/Guardian #1 Contact Information

Parent/Guardian #1 Name

*

Prefix

First Name

Last Name

Suffix

Parent/Guardian #1 Mobile Phone

*

Parent/Guardian #1 Email

*

Verify Email

*

Parent/Guardian #1 Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Parent/Guardian #2 Contact Information

Parent/Guardian #2 Name

Prefix

First Name

Last Name

Suffix

Parent/Guardian #2 Mobile Phone

Parent/Guardian #2 Email

Verify Email

Parent/Guardian #2 Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Student Applicant School Information

Your Race or Ethnic Identity

*

Please check all that apply.

American Indian or Alaskan Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Pacific Islander

White (not Hispanic or Latino)

I do not wish to Self-Identify

Year in school (for the 2019-2020 school year)

*

Graduation Year

*

Have you ever attended any other high school?

*

Yes

No

Please list the name(s) of previously attended high school(s).

Trip Information

School and Trip Schedules

Summer Break #1 (June 13-20, 2020): Blanchet, Holy Names, O'Dea & Seattle Prep

Summer Break #2 (June 20- 27, 2020): St. Joe's, NLYM & students from all SAA partner schools may apply.

First preference for volunteer trip?

*

Please select week of your school break OR Summer Trip.

What age will you be on the start date of your preferred trip?

*

Mid-Winter Break Trip Start Date: 02/15/2020 Summer Break Trip Start Date: 06/20/2020

Second preference for volunteer trip?

*

Please select week of your school break OR Summer Trip.

Do you need a partial scholarship to help fund your trip?

*

Yes, I am requesting a need based partial scholarship.

No

Dollar amount you are requesting:

Please explain why you are requesting a need based partial scholarship.

Short Paragraph Responses

IMPORTANT: We highly recommend you type your responses into word/text document and save to your computer. Please paste your answers into the respective field below. Your saved document may come in handy should any technical difficulties occur when you submit your application.

Why do you want to volunteer with SAA? What do you hope to learn from participating in one of our immersion trips?

*

Hurricane Katrina hit New Orleans 14 years ago. What do you know about recovery efforts in New Orleans? Why do you think it is important to continue rebuilding efforts?

*

What does "home" mean to you? Why do you want to help others move home?

*

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? Please explain.

*

Who in your life has influenced you the most? Please explain why.

*

Is this your first trip with Shirts Across America?

*

What year(s) did you volunteer with SAA?

*

2019

2018

2017

2016

How Did You Hear About SAA?

*

Please check all that apply:

I have a sibling who volunteered with SAA

I have a parent who volunteered with SAA

I have another family member who volunteered with SAA

I have a friend who volunteered with SAA

Through Social Media (Facebook, Instagram, Twitter)

Through SAA's website

Other

Disciplinary History

Have you ever been found responsible for a disciplinary violation at any academic institution, related to behavioral misconduct, that resulted in your probation, suspension or expulsion?

*

By answering yes, you are not automatically disqualified from participating in a Shirts Across America trip.

Yes

No

Please explain.

If you would prefer to have a conversation over the phone about this, please email RNovak@shirtsacrossamerica.org to set up a phone call.

Have you ever been expelled or asked to leave an academic institution(s)? If so, please name the academic institution(s) and the city and state the institution is located in.

2020 NOLA Trip Application

Seattle Prep Student Volunteers

Thank you for your interest in applying to our program!

Student Applicant Information

Parent/Guardian #1 Contact Information

Parent/Guardian #2 Contact Information

Student Applicant School Information

Trip Information

Short Paragraph Responses

Disciplinary History