Katrina Spring Break App

Katrina Spring Break App - Page 1 of 5 Participant...

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Page 1 of 6 Participant Application Directions : Please respond to the following questions using only the space provided on these three pages , deleting spaces as you type as necessary. You may fill in this application electronically (which is the preferred method) or by printing legibly by hand in black or blue ink. This form is available by e-mail (please contact Alison Heslin at [email protected]) Completed applications may be submitted by e-mail to [email protected], by January 25, 2008 at noon . Note: Experience in construction work is not required to join CDRT, only a willingness to learn and work hard, however detailed information about such work (if done) is needed for team planning purposes. Date: _____________1/19/08_____________________________________________________ Full Name: __________Halpin__________________Kelley___________________Alexander___________ Last First Middle Name you wish to be called: Kelley home phone: (_5714267007____) __________________ Date of Birth: (XX/XX/XXXX) __01____/___23___/____1989___ cell phone: (_5712367007____) __________________ Home Mailing Address: _____18748 Harmony Church Road___________________________________ Street _______________Leesburg______________VA_________________20175__________________ City State Zip Preferred E-mail Address: [email protected]______________________________________________ Application: 15:03:07 - AD
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Page 2 of 6 I identify as: ___ Female __x_ Male UR Mailbox # and Phone Extension: 0664 _______ The information requested above is needed for administrative purposes only and will not be used in a discriminatory manner. Short Answer Questions – Please respond briefly but thoroughly in complete sentences after first completing the chart on page three of this application (you need not repeat information there here). 1. Why do you wish to participate in the Collegiate Disaster Relief Team’s 2008 Spring Break trip to New Orleans, Louisiana? I wish to participate in the CDRT spring break trip because I want to help out my fellow Americans who had their lives shattered due to this horrible tragedy. When I saw the footage on the news of New Orleans following hurricane Katrina, I was heartbroken and knew something needed to be done to help these people. It is a moral tragedy that American citizens should still have to deal with this monumental issue with very little assistance from others. I know if I were in their position, I
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Katrina Spring Break App - Page 1 of 5 Participant...

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