ASB 2013 Trip Formation Proposal Survey

Thank you for your interest in proposing a trip for the 2012 Alternative Spring Break (ASB) program. Trips will take place approximately March 23-31, 2013. If you are passionate about a cause or a location, or merely interested in giving back to a community (near or far), use this form to propose a trip.

Should you have any questions, please do not hesitate to contact Ed Kovacs, Director of Campus Activities, at eck35@drexel.edu. Proposals are due by ASAP.

1. Demographic information:

Demographic information: Name (first & last):
Student organization affiliation (if any):
Student ID#:
Drexel e-mail:
Phone:

2. Your past ASB experience (if any):

Your past ASB experience (if any):

3. Proposed trip (basic information):

Proposed trip (basic information): Location (include city, state, country):
Ideal number of participants:
Potential trip advisor(s):
Site contact (if known):
Non-profit affiliation (i.e. Habitat for Humanity, Red Cross, not applicable)
Contact phone:
Contact e-mail:

4. What will be the topic/focus of the trip (check all that apply)?

What will be the topic/focus of the trip (check all that apply)? Arts Children & Youth Education Elderly Environment	Diversity Health Homelessness Poverty Women's Issues
Other (please specify)

5. Referring to Question 4, please explain your selection(s):

Referring to Question 4, please explain your selection(s):

6. Proposed trip (financial information):

Proposed trip (financial information): Means of travel:
Expected cost of travel:
Type of on-site lodging:
Expected cost of lodging:
Fundraising plan / goal:
Expected fee per participant:

7. What is/are the reason(s) for choosing this proposed location?

What is/are the reason(s) for choosing this proposed location?

8. What do you expect participants to learn and experience while on this trip?

What do you expect participants to learn and experience while on this trip?

9. Should the trip be approved, are you expecting to serve as trip leader? If so, why?

Should the trip be approved, are you expecting to serve as trip leader? If so, why?

10. Feel free to share additional information which may support this proposal:

Feel free to share additional information which may support this proposal:

11. What days and times are you available to meet with OCA staff to discuss this proposed trip?

What days and times are you available to meet with OCA staff to discuss this proposed trip?

12. Agreement

Agreement By clicking this button and submitting this application, you agree to assume a leadership role in organizating this experience, to meet and maintain regular communication with OCA staff, and to do all that is required in order to create a successful ASB trip. Failure to agree will result in your trip proposal being denied.

ASB 2013 Trip Formation Proposal
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ASB 2013 Trip Formation Proposal
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