Intercollegiate Student Member Application

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Instructions: This application should be completed by students. You are applying to participate in Solar Spring Break as an individual, joining a team of other Individual students from across the country to form an Intercollegiate Team. Applications are accepted on a rolling basis until all 10 spots are filled. The dates of this trip are May 21-25 and the location will be Sacramento, CA.

Email *

College or University Name *

What state is your college/university in? *

Applicant’s name

Applicant’s major and graduation year *

Applicant's race/ethnicity *

American Indian/Alaskan Native

Asian

Black/African American

Latino(a) or Hispanic

Native Hawaiian or Pacific Islander

White

Other Multi-racial

Decline to Answer

Applicant's Gender *

Male

Female

Self Identify

Decline to Answer

Are you a veteran or active military? *

Veteran

Active Military

Decline to Answer

Faculty advisor name *

Faculty advisor role and contact information *

Why are you interested in participating in Solar Spring Break with GRID Alternatives? *

Why are you interested in joining a team of Intercollegiate students from other schools, rather than forming a team at your school, for Solar Spring Break? *

What do you hope to gain from participating in Solar Spring Break? *

GRID's mission is to provide renewable energy technology and job training to underserved communities. What does GRID's mission mean to you? *

Solar Spring Break is a service-learning program. What do you see as the difference between community service and service-learning? *

If you are accepted, you will need to raise $500 to cover the GRID program fee. How will you fundraise this amount? *

Students are also responsible for their own meals and transportation during Solar Spring Break, please explain how you will cover these additional costs. *

Is there anything else you would like to tell us?

I understand if I am accepted I will need to provide a $50 deposit for my participation by November 10 and will need to raise an additional $450 by April 17. I understand that food and travel costs are not included. *

Yes, I understand

Required

I have read the roles and expectations document for this role and understand what would be expected of me if I am accepted into this position. *

Yes, I read and understand the roles and expectations of this position.

Required

I have shared the roles and expectations document with my faculty advisor listed above. They have agreed to the faculty advisor role and understand what would be expected of them if I am accepted into this position. *

Yes, I have shared the roles and expectations document with them and they have agreed to the role.

Required

A copy of your responses will be emailed to the address you provided.

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