Trip Application
Name
*
First Name
Middle Name
Last Name
Nickname
Gender
*
Please Select
Male
Female
Email
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Date of Birth
*
-
Month
-
Day
Year
Are Texts ok?
*
Yes, please
No, thank you
T-Shirt Size
*
Please Select
Small
Medium
Large
XL
XXL
Do you currently have a valid passport? Please note, your passport needs to have more than 6 months of validity in order to travel to most countries
*
Yes
No
I have an application pending
Please upload a photo or scan of your photo page of your passport, similar to example above. If your application is pending for your passport please upload a photo of your driver license.
*
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Emergency Contact Person
*
Emergency Contact Phone Number
*
Please list any food allergies, medical conditions, and/or medications you are currently taking
*
By participating in this trip I recognize that I am joining a team and will participate as a team member and be on time to all activities including team meetings, meal times, home building, and all activities required by the group.
*
I agree
I do not agree
I understand I must remain with the team and not wander off from the home building site or off the property where the team is staying in the evenings.
*
I agree
I do not agree
I will show respect to Hope Project leadership, the community we will be serving, and other trip participants at all times.
*
I agree
I do not agree
I agree to submit myself to the leadership of Hope Project International
*
Date
-
Month
-
Day
Year
Date
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