UNIVERSITY OF CALIFORNIA, BERKELEY

STUDENT APPLICATION Address:_____________________________

Name: ____________________________ Telephone#: __________________________

Student ID#: ______________________ Age: ________________________________

Email: ___________________________ Major: _____________________________

This application is for the May 24th- 31st 2009 Water Brigade.

1) What is your Spanish speaking level?

Fluent Some Little None

2) Will you be able to meet the four mandatory meetings on 2/17, 3/16, 4/14, 5/5?

3) How did you hear about GWB?

4) Please list an emergency contact (Name, Relation, Phone, Address, Email):

5) There is a tentative second summer trip planned for August 7th – 14th. Can you
make the trip dates in May, August, or both?

Please answer all of the following questions in a total of 500 words or less.

6) Do you have any volunteer experience?

7) What is your interest in joining Global Water Brigades?

8) What personal qualities do you think you can contribute to the project?

9) What do you expect to gain from your participation in GWB?

Please turn this application form in by Friday, February 6th at 11:59 PM to

berkeleygwb@gmail.com.

We look forward to having you on our brigade!