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2020 NOLA Trip Application
NLYM/NCL Student Volunteers
Thank you for your interest in applying to our program!
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.
select one
Female
Male
High School/Partner
*
select one
NLYM
NCL
T-Shirt Size
*
select one
Small
Medium
Large
X-Large
2X-Large
3X-Large
4X-Large
Address
*
Address Line 1
Address Line 2
City
City
State
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
City
State
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
City
State
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)
*
select one
Freshman
Sophomore
Junior
Senior
Graduation Year
*
select one
2023
2022
2021
2020
What High School do you attend?
Please list the name(s) of previously attended high school(s).
Trip Information
School and Trip Schedules
Summer Break #2 (June 20- 27, 2020):
NLYM, NCL & students from all SAA partner schools may apply.
First preference for volunteer trip?
*
Please select week of your school break OR Summer Trip.
select one
Summer Break #2 (June 20- 27, 2020)
What age will you be on the start date of your preferred trip?
*
Summer Break Trip Start Date: 06/20/2020
Second preference for volunteer trip?
*
Please select week of your school break OR Summer Trip.
select one
Summer Break #2 (June 20- 27, 2020)
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?
*
select one
Yes
No
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.
