2023-24 Nazareth Alternative Break Participant Application

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Application due date is September 29th, 2023. Naz Alternative Breaks strives to be equitable and accessible in its programming. If accommodations are needed to complete the application or interview process, please contact Jen Canning, Naz Alt Breaks, (585) 389-2304, jcannin6@naz.edu to make arrangements.

Email *

First Name *

Last Name *

Pronouns (he/him, she/her, they/them, etc.)

Phone *

Nazareth Student ID# *

School Year *

Freshman

Sophomore

Junior

Senior

Grad

Major *

Minor

Please rate your interest in the Social Issue focus for Alt Breaks. *

Community Revitalization

Disaster Relief

Environmental Justice

Food Sustainability

Immigration Rights

Urban Farming

Veterans Issues

Youth Development

1st Choice

2nd Choice

3rd Choice

4th Choice

How would you like to travel? *

Plane

Car

Either

Would you prefer an Alt Break in the winter (January break) or spring (March break)?

Winter Break

Spring Break

No Preference

Clear selection

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