Humanitarian Trip Application

Capetown South Africa Humanitarian Trip Nov 8-14, 2023

Fill out the form carefully to apply for a spot on the service roster
Full Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Company/Employer
Skills and Abilities (Please select all that apply)
The total trip cost will be $2,500 that will cover all lodging, food, activities, and a small donation to The Cove Foundation. The cost of the roundtrip flights and any additional transportation will be your responsibility.
Please leave us with a brief description of why and how you feel you could best help our cause. Thank you so much for your interest and desire to serve. We look forward to working with you!
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Capetown South Africa Humanitarian Trip Nov 8-14, 2023