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* 1. Name, Address, Phone, Email:

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* 2. Anticipated UNC graduation year:

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* 3. Major(s)/Minor(s)

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* 4. Have you ever participated in an Alternative Break Experience? If so, which one and with whom?

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* 5. Why are you interested in participating in the CWC's Alternative Fall Break Experience?

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* 6. Describe your current and recent volunteer experience.

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* 7. What is your experience with gender equity work? And/or with domestic violence/sexual assault organizations?

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* 8. What role do you typically play on a team? What can you bring to a group setting?

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* 9. What do you hope to gain by participating in this trip?

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* 10. How can you share your Alternative Spring Break experience with the UNC community?

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