Pre-Wildcat Welcome Week

Before completing this application, please read the following LIABILITY WAIVER carefully:
WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT 1. In consideration for receiving permission to participate in the Pre-dWildcatWelcome Trips (Alternative Student Break, CATalyst, Freshman Urban Program, Project Wildcat), (�the Trips�) from September 9 - 15, 2013, I hereby release, waive, discharge and covenant not to sue Northwestern University, its officers, servants, agents and employees (hereinafter referred to as "releasees") from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or relating to any loss, damage or injury, including death, that may be sustained by me, or to any property belonging to me, whether caused by the negligence of the releasees, or otherwise, while participating in the Trips, or while in, on or upon the premises where the Trips is being conducted, while in transit to or from the premises, or in any place or places connected with the Trips. 2. I am fully aware of risks and hazards connected with being on the premises and participating in the Trips, and I am fully aware that there may be risks and hazards unknown to me connected with being on the premises and participating in the Trips, and I hereby elect to voluntarily participate in the Trips, to enter upon the above named premises and engage in activities knowing that conditions may be hazardous, or may become hazardous or dangerous to me and my property. I voluntarily assume full responsibility for any risks of loss, property damage or personal injury, including death, that may be sustained by me, or any loss or damage to property owned by me, as a result of my being a participant in the Trips, whether caused by the negligence of releasees or otherwise. 3. I further hereby agree to indemnify and save and hold harmless the releasees and each of them, from any loss, liability, damage or costs they may incur due to my participation in the Trips, whether caused by the negligence of any or all of the releasees, or otherwise. 4. It is my express intent that this Release shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a Release, Waiver, Discharge and Covenant Not to Sue the above named releasees. In signing this release, I acknowledge and represent that: A. I have read the foregoing release, understand it, and sign it voluntarily as my own free act and deed; B. No oral representation, statements or inducements, apart from the foregoing written agreement, have been made; C. I am at least eighteen (18) years of age and fully competent; and D. I execute this Release for full, adequate and complete consideration fully intending to be bound by same.
Please select your age group to continue*
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- Check here to certify that you are 18 or older, and that you have read and fully understand the waiver
Since you are under 18, you and your legal guardian must sign the waiver and return it to the Center for Student Involvement. A link to download and print this waiver will be included your confirmation of this application. It is your responsibility to ensure the waiver is printed, signed, and returned; your application will not be complete until it is received.
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- Please check here to recognize that you understand these terms

Personal Information
Student Name*
FirstLast
Northwestern Email*
Enter EmailConfirm Email
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Potential Major
Primary School of Acceptance*
T-Shirt Size*

Program Deposit
A NON-REFUNDABLE DEPOSIT IS REQUIRED FOR ALL APPLICATIONS!
A non-refundable $100 deposit is required for all applications and will be applied towards the final cost of the program you are accepted to participate in. This deposit is required to complete your application (for more information, visit the Pre-Wildcat Welcome Week info page).
How do you plan to pay the initial deposit?*
- Secure Online Credit Card Payment (link provided in confirmation)
- Check Mailed to Center for Student Involvement (address provided in confirmation)
Financial Aid
All programs offer limited financial aid based on need; admission to all programs is not affected by your financial situation. If you would like to request financial aid, please complete this section.

Trip Costs: ASB - $215 / CATalyst - $275 / FUP - $250 / PWild - $350 + rentals
- I would like to apply for financial aid
If you would like to apply for financial aid, please check here to give approval for the Center for Student Involvement to verify your financial need with the appropriate University department. This information will be private and confidential.

Common Application Question
This common application question is required for all applicants. Below, you will answer additional questions for your top two ranked programs.
What do you hope to gain from the Pre-Wildcat Welcome Week experience and what can you contribute to it?*
Alternative Student Break (ASB)
Please rank all 10 of the ASB sites in the order that they interest you. Briefly explain why you want to go to your top three choices.*
For information on ASB sites, see http://asbnu.org/prewww/
If you could lead a volunteer trip to anywhere in the world, where would you go and what would you do there?*
If you were a superhero, what would your special powers be? What would your costume look like?*
CATalyst
Why do you want to go on CATalyst? What do you hope to get out of it?*
Describe your leadership experience in high school, citing your most significant experience.*
What about Northwestern are you most excited for and why?*
Freshman Urban Program (FUP)
Describe an issue in your community that you are familiar with or that interests you and explain why.*
If someone came to visit your hometown or city for the first time, what would you show them and why?*
If you could be any food, what would you be and why?*
Project Wildcat (PWild)
What is your favorite place in the world?*
What is your favorite joke?*
What experiences have you had that have made you excited about coming on PWild?*

Norris University Center

Northwestern University

Pre-Wildcat Welcome Week 2013

Step 1 of 5 -

Personal Information

Program Deposit

Financial Aid

Program Preferences

Common Application Question

Alternative Student Break (ASB)

CATalyst

Freshman Urban Program (FUP)

Project Wildcat (PWild)