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2019 NOLA Trip Application

Eastside Catholic School Student Volunteers

Thank you for your interest in applying to our program! 

Student Applicant Information
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First Name
Last Name

The name your teachers call you.
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This is what is indicated on your identification or passport.
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or best phone number to reach you.
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Please choose an email that you check regularly.
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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(mm/dd/yyyy)
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Mid-Winter Break Trip Start Date: 02/16 Summer Break Trip Start Date: 06/23
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Please check all that apply.
Parent/Guardian #1 Contact Information
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Prefix
First Name
Last Name
Suffix
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Parent/Guardian #2 Contact Information

Prefix
First Name
Last Name
Suffix




Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Trip Information
School and Trip Schedules

Mid-Winter Break (February 16 - 23, 2019): Eastside Catholic School, Los Gatos Chapter & Roosevelt High School

Summer Break (June 23- 30, 2019): St. Joe's, NLYM & students from all SAA partner schools may apply

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Please select week of your school break OR Summer Trip.
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Please select week of your school break OR Summer Trip.
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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.
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Please check all that apply:
Disciplinary History
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By answering yes, you are not automatically disqualified from participating in a Shirts Across America trip.

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