ST Fall Break Leader Application

Fall Break Leader Information

Fall Break: October 26-29
$25 dollar fee charged to student account: this will cover service trip expenses and t-shirt
 
1.Name:(Required.)
2.ID Number: (Required.)
3.Email:(Required.)
4.Phone Number:(Required.)
5.Year in School:(Required.)
6.Age at time of trip?(Required.)
7.T-Shirt Size:(Required.)
8.Reference Name:(Required.)
9.Reference Phone Number:(Required.)
10.Reference Email:(Required.)
11.Do you have someone specific in mind as a co-leader? If so, who?(Required.)
12.What social issues are you interested in working with?(Required.)
13.Do you have an idea for a location for your service trip? (Must be under 6 hours)(Required.)
14.Why do you want to lead a service trip?(Required.)
15.What prior leadership experiences do you have that qualify you to lead a service trip?(Required.)