Exit this survey UMassCru Big Break 2018 Scholarship Request Form * 1. Name, email and cell number * 2. Are you a part of Cru, AIA or Epic? Cru Atheletes in Action Epic * 3. Interest Level 1 (somewhat interested) 2 3 4 5 6 7 8 9 10 (Ain't no mountain high enough to keep me away) * 4. What School do you attend? UMass Amherst College Smith College Mount Holyoke College Berkshire Community College Greenfield Community College Springfield Technical Community College other Other (please specify) * 5. Have you begun your registration at www.big-break.com? And have you put down a $100 deposit? yes I have begun my registration yes I have put down a $100 (or more) deposit yes I have completed my registration with a full payment of $370 no, I haven't started the registration. * 6. We are having a transportation pool where each participant writes 6 support letters and then all the money that comes in for the bus are shared by those in the bus pool. Do you want to participate in the transportation pool? Otherwise, it's $200-220. (The deadline to send out all 6 letters is Feb 20th.) Yes, I already wrote and handed in my 6 support letters for the transportation pool. Yes, I plan on writing the 6 support letters for the transportation (transportation) pool. I have questions about the transportation (transportation) pool and how it will work. No I do not want to participate in the transportation (transportation) pool. * 7. Is this your first time on Big Break with us? Yes No, I've been before. * 8. In addition to writing 6 letters for transportation, are you planning to write support extra letters in order to raise funds for your registration and food? Yes I'm planning to write and send support letters for my registration and food No, I'm not planning on writing support letters for my registration and food I can cover most of the registration/food, so if I get a little scholarship, I won't have to write letters for personal support. I am not sure what this means. Other (please specify) * 9. How much scholarship would you like to request? (Please note: We really want to help people go and know that not everyone is in the same place financially. That said, please don’t request more than you really need because it will lessen the amount we have to help others. Thanks.) Please feel free to include any other information that you think will be helpful for us. We will try to get back to you within 3 days. * 10. We do not want finances to prevent you from attending the conference, but our funding is also limited. Is there any other financial information that would be helpful for us to know in making a decision (i.e. I'm working 2 jobs to pay for college, my bank account is $65 and has to last me the semester, I went on an overseas mission trip in the summer and wasn't able to earn money)? Done