2023 SAA Trip Application - Student Application

Thank you for your interest in our 2023 New Orleans Immersion Trips

Please click below to apply.

Registration Information

First Name

Middle Initial

Last Name

Surname

Preferred Name

Date of Birth (mm/dd/yyyy) Example: 08/29/2001/ Please be sure your correct YEAR of birth displays.

Age

Gender - same as listed on your Government Issued ID

T-shirt Size

School You're Attending

Other

Contact Information

Student E-mail

Mobile Phone

Street Address

City

State

Postal / Zip Code

Parent/Guardian Information

Parent/Guardian 1 Contact Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent Mobile Phone

Parent Email

Street Address

City

State

Zip Code

Parent/Guardian 2 Contact Information

Parent/Guardian First Name

Parent/Guardian Last Name

Mobile Phone

Email

Street Address

City

State

Zip Code

School and Trip Information

Application School Information

2022-2023 Year in School

Graduation Year

Trip Information

School and Trips Schedules

Mid-Winter Break (February 18 - 25) Roosevelt, Forest Ridge, NLYM, NCL
Spring Break II (April 8 - 15) Blanchet, HNA, O'Dea, Seattle Prep
Summer I (June 10 - 17) Blanchet, HNA, O'Dea, Seattle Prep
Summer II (June 24 - July 1) RHS, NLYM, NCL, Sumner, OHS, BPrep, BBHS, HNA, O'Dea, SeaPrep

First preference for Immersion Trip

Second preference for Immersion Trip

Do you have a friend applying for a trip?

YesNo

Please add name(s) here:

Are you requesting a need-based partial scholarship to help fund your trip?

YesNo

Are you a recipient of free and reduced lunch program or receiving financial support to attend your school?

YesNo

Please tell us why you are requesting a need-based partial scholarship.

Dollar Amount You Are Requesting:

Have you participated in any Leadership Workshops with SAA?

YesNo

Which Leadership Workshop did you attend? (Month and Year)