Before completing this application, please make sure that you have reviewed the program information about nuSERVES2014 located on the Center of Community Service website ( Please note that you must complete this application in its entirety; you cannot save and return to complete.
Home Address
Zip Code
Home Phone #
Cell Phone #
Email Address (Husky Preferred)
Date of Birth (MM/DD/YY)
T-Shirt Size
Dietary Needs/Concerns
Allergies or other Health Concerns
Other Concerns or Special Accommodations
What type of meal plan will you have for
Fall 2014?

Emergency Contact Name
Relationship to You
Primary Phone #
Alternate Phone #
Email Address

Please Complete the following short answer essay questions in 500 words or less.
Please describe your interest in applying
to be a member of nuSERVES.
Team work is essential to the nuSERVES
program. Please provide an example
of when you were involved in a team setting
and lessons learned from that experience.
What kind of community service are you
most passionate about, and why? (Environmental
work, helping the homeless, primary
education, etc.)
Provide a summary of volunteer and/or
relevant high school extra-curricular
By pressing submit, I certify that the information provided herein is true and my own. I certify that I am an incoming first-year student to Northeastern University entering Fall 2014. I have read and understand the nuSERVES program fee payment and refund requirements and program information for nuSERVES 2014. I understand that I must attend or have attended an NU Summer Orientation session before the week of the nuSERVES program to be eligible for participation. I understand that students in the Honors Program are not eligible due to the conflict with Honors Welcome Week (Honors students will have the opportunity to participate in the Honors Outreach Project). I agree not to schedule or plan any programs or events during the week of nuSERVES, Monday, August 25 - Friday, August 29.