Alternative Break Scholarship Application Company 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? * Do you have alternate sources of funding to participate 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 Please list any additional comments you believe would be helpful in our decision to award a scholarship to your group.