Shirts Across America · 2017-18 Student Volunteer- California Trip Application

Applicant Information

Name

*

First Name

Last Name

Preferred Name

The name your teachers call you.

Gender

*

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

State/Province

ZIP/Postal Code

Country

High School

*

Graduation Year

*

Date of Birth - Example: 08/29/1992

*

Please be sure correct YEAR of birth displays.

Current Age

*

T-Shirt Size

*

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

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

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

State/Province

ZIP/Postal Code

Country

Trip Information

Please select trip date for your school

*

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.

Have you ever traveled out of state with a school, sports team or peer group? (Answer to this question will not impact your chance of acceptance)

*

Please briefly describe your trip experience

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 by participating in this immersion trip to New Orleans?

*

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.

*

New Orleans Trip Application

Student Volunteers

Applicant Information

Parent/Guardian #1 Contact Information

Parent/Guardian #2 Contact Information

Trip Information

Short Paragraph Responses