Breakout Princeton Trip Proposal

APPLICATION DUE: Sunday, April 10th 2019 at 11:59PM EST

Thank you for proposing a Breakout trip! We appreciate you taking the time to propose a trip. Please have you and your co-leader complete the proposal together.

Before you begin, please be sure to read the Designing Your Trip Outline, which walks through the many considerations necessary for crafting your proposal. For examples of previous trip topics and destinations, see Past Breakout Trips.

The Pace Center is committed to creating access for all students. In an effort to eliminate monetary barriers that may exist, all Breakout Trips are fully funded. Furthermore, to allow as many students to access the Breakout experience as possible we have limited the number of times a student can serve as trip leader to one time.

It is strongly suggested that you complete your answers to these questions in a separate document and then cut and paste before submitting in order to avoid losing your answers.

Trip planning is an evolving process. Please share the ideas and passions you have while knowing things may change and that we are not looking for perfection.

For any questions please contact Pace Center Program Coordinator, Geralyn Williams, at geralynw@princeton.edu.

Trip Leader Role Description

Anyone can propose a trip whether you are a student, a staff member, a part of the faculty, or a Pace community partner. Trip leaders have responsibilites throughout the year to attend trainings, plan their trips, recruit paticipants, lead the trip during break, and facilitate post-trip engagement. More on the responsibilities and proposal process can be found here.

Please select the description that best fits you. *

LEADER #1 INFORMATION

First Name *

Last Name *

PU ID (n/a if not a student): *

Class Year (n/a if not a student) *

Email Address *

Phone Number: *

Birthday: *

Major/Department/Organization *

LEADER #2 INFORMATION:

Students must have a partner. Staff, Faculty, and Community Partners are encouraged to have one as well, but it is not required. They can put n/a in all the Leader #2 boxes if they do not have a partner.

First Name *

Last Name *

PU ID (n/a if not a student) : *

Class Year (n/a if not a student) *

Email Address *

Phone Number: *

Birthday: *

Major/Department/Organization *

TRIP SPECIFIC INFORMATION

Working title:
(Example: Opportunity Gap: Pipelines of Education for Students of Color) *

Proposed locations or regions (please indicate 2-3 possible sites): *

Your trip is most closely related to which theme? *

Means of transportation you intend to use *

Public transportation

Vans

Flights

Semester the Trip will take place *

Fall

Spring

Either

Please describe the primary social justice issue of your trip and why it is important to you. *

0/500 words

Please identify three learning goals for this trip? *

0/500 words

Please identify 3-5 relevant articles, potential organizations, media clips, experts in your topic, and/or documentaries that provide context for your trip. Provide direct links when available. *

What ideas for pre-trip activities do you propose prior to departing for your trip? Pre-trip activities help with teambuilding, connecting with partners, and understanding the issues.

Some examples: meeting and sharing initial impressions of the social issue, bring in a professor to facilitate a discussion, serving with an organization that addresses the issue locally, watch a documentary film, etc. *

0/500 words

During your trip, what is your scope for community partners with whom you wish to work and why? (Example: government officials, activists, non-profit organizations, etc.)? *

0/500 words

What ideas do you have for post-trip activities? How will you help participants stay involved with the issue? *

0/500 words

BUDGET: Please click here to download the Excel Breakout Budget Spreadsheet. Please copy and save this document to your computer and fill in estimated trip expenses. Upload your budget by clicking on the browse button below and navigating to the location where you have saved the file on your computer. We understand that this budget is a rough estimate and will be revised later as your trip is further developed. *Be sure to include your name in the document title.

LEADER SPECIFIC INFORMATION

How does Breakout Princeton fit into your conceptions of service? *

0/250 words

How will you create a space where your participants feel heard, challenged, and able to have a different perspective than you? *

0/250 words

Are there any parts of your identity/experience that you would like to share with the selection committee that you think would uniquely qualify you to lead this trip well? *

0/250 words

How did you hear about proposing a Breakout Trip? *

If you chose "Other", please explain

The second step of the proposal process is an interview with the Breakout Board and Staff Advisor. Interviews will take place from Thursday April 14th through Tuesday April 19th. By completing this application you are committing to an interview within this time frame. If you know that you will be complete;y unavailable or not easy to access during these days please email Geralyn Williams at geralynw@princeton.edu to see if an alternative can be figured out. *

Yes, I consent to the above.

Students on disciplinary probation at the time of their application are not eligible to participate in Breakout Princeton. Pace Center staff is only able to verify your eligibility with your consent noted by the waiver below. Please read the waiver and indicate your consent. Note that any information related to disciplinary records will be shared only with University staff.

In submitting this application, I permit the Pace Center for Civic Engagement to inquire about my student disciplinary records at Princeton, and I permit the Office of the Dean of Undergraduate Students (ODUS) to release such records to the Pace Center. Information from other offices at Princeton, e.g. residential colleges or others, may be requested as part of the application review process to ensure that all students can have a safe and productive experience. I understand that decisions on individual applications are made by the Pace Center on a case-by-case basis and that any information received by the Pace Center will not be released to other students or any third parties. *

Yes, I consent to the above.

Community Service Kickoff	Fliers on campus
Fall Reflections and Directions program	Pace Center website
Pace Center e-newsletter	Emails from Pace Center
Emails from academic depts	Word-of-mouth
Facebook/Twitter	Current/past Breakout leaders/participants
Other