2021 Alternative Break Scholarship Application Web Site University/College * First Name * Last Name * Email * Phone * Estimated Group Size * Your group must have a MINIMUM of 8 and a MAXIMUM of 14. Spring Break Start Date * Spring Break End Date * Has your group participated in a service trip or an Alternative Break in the past? (for planning purposes, has no effect on selection) * Yes No I’m not sure Why is your group interested in participating in an outdoor conservation project over your Spring Break? * What would receiving an Alternative Break scholarship mean to your group? * Why does your group deserve an Alternative Break Scholarship? * If your school is not selected to receive an Alternative Break scholarship, how would your group fund participation in an AHS Alternative Break or similar service trip? * Do you understand the Alternative Break Scholarship Recipient Requirements? * Yes No Scholarship Recipient Requirements: -Group Size of 10-14 -18+ years of age -Group is responsible for arranging travel ($500 travel stipend provided) -Group is responsible for purchasing food ($660 food stipend provided) -Group must be willing to provide photos and/or video from the week Reference Please list someone that we can contact to provide a reference for your group. It can be an adviser, professor, mentor, etc. Reference Name * Connection to Reference * Reference’s Email * Reference’s Phone * Optional Application Video Make a video (up to 2 minutes) letting us know why your group deserves an Alternative Break Scholarship. Videos do not need to be professional- feel free to shoot on your phone. Have fun and get creative! Upload the video to YouTube, Vimeo, facebook, or other site and share the link with us. Additional comments or reasons we should consider your group for an Alternative Break scholarship.