Break Out Trip General Interest Survey Let us know how you'd like to Break Out! Please note that participation for trips beyond the Berkshires region will require a personal financial contribution. Name* First Last Class Year*2020202120222023Williams/PeopleSoft ID#*Please include only the 7 numerical digits without the preceding W.Preferred Email* Enter Email Confirm Email Phone*Which 2019 trip(s) most interested you?*Please check all that apply. Visit http://learning-in-action.williams.edu/opportunities/bot/2019-trip-summaries/ for more information. Addressing Gender Inequality in Education (Gujarat, India) Berkshire Break Out Trip (B-BOT): Community Outreach & Service (Berkshire County) Chaplains’ Interfaith Service Team (Tuscaloosa, AL) Global Medical Training (Peru) The Real Face of Mexico (Nogales, Sonora, Mexico) Solidarity Economies: Cooperation Jackson (Jackson, MS) Teaching English in China (Changsha, China) TEED (Technology, Environment, Education & Dance) Program (Ghana) Williams in Mexico (Veracruz, Mexico) N/A How interested are you in each of the following possibilities? Please choose one response for each category.Joining an established trip*Not at allSomewhatVeryVery very!Helping to plan or lead or trip*Not at allSomewhatVeryVery very!Starting a new trip*Not at allSomewhatVeryVery very!If interested in starting a trip or helping to plan/lead a trip, how early would you be willing to start that work?*Summer (June to late August)Late summer (late August to early September)Beginning of fall semester (September to mid-October)Late fall (late October to winter break)Winter Study for following spring breakSpring semester for following spring breakN/AIf interested in starting a trip or helping to plan/lead a trip, will you be on campus at all during the summer? If so, for what dates?What categories of trips interest you?*Please check all that apply. Arts & Culture At-Risk Youth Community & Economic Development Education Health & Wellness History, Government & Politics International Development Media & Technology Religion & Spirituality Science & Environment Social Services
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