Community Engagement at the Holden Center

Applications & Forms

2013-2014 Site Leader & Participant Applications



2013 Alternative Summer Break Application

2013 Alternative Summer Break Itinerary



2013 Alternative Winter Break Site Leader Application:


2014 Alternative Spring Break Site Leader Application:




Note: Site Leaders are student participants that have applied and been selected to lead the respective trips. Site leader applicants who are not selected as site leaders will be treated as participants.

Alternative Break Participant Forms


All students participating in the Holden Center's Alternative Break program will receive hard copies of required forms in their Alternative Break Welcome Packets. All forms must be completed and returned to the Holden Center by the indicated due date in order to participate in the Alternative Break experience. Please download additional copies of all Alternative Break forms from the links below.

Emergency Contact and Medical Information Form


Passport and International Insurance Form (international trips only)

2013 Alternative Spring Break Risk Waivers- COMING SOON

New Trip Proposal
Are there particular social issues that you would like to see addressed through an Alternative Break experience? Contact the Alternative Break Program at altbreak@uoregon.edu to discuss the process of proposing a future Alternative Break trip and fill out a new trip proposal.



2013-2014 Educational Partner Application



2013-2014 ABC Application

The application period for the 2013-2014 Alternative Break Committee is open. Apply now!


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