Travel Sparq Inc. Chaperone Application

Being a chaperone for Travel Sparq Inc. requires more of a person than being a guardian on some class-trip style beach vacation. Chaperones are leaders and experience providers of our Costa Rica: Culture and Conservation program. Thus, we have high expectations of our chaperones- we are building a program that changes students' lives. We couldn't take this responsibility more seriously. As a chaperone, you will meet students who test, trust, and teach you. So, we're looking for the best people to help elevate students' experiences with us and make them feel safe and secure. If you fit that role, please apply! If you have any questions while filling out the application, please email travelsparq@travelsparq.org.

Disclaimer: This isn’t a paid position, and the time is voluntary in nature. You will be asked to pay for some of the costs for your portion of the trip. Costs include Pre/Post-Trip class meals, meals/snacks while in the airport, your passport, your luggage, your souvenirs while in Costa Rica, and any fees/fines you may acquire while abroad (this isn’t likely). You will be asked to help in the selection process/interviewing of student applicants. You are required to attend all scheduled Pre/Post-Trip classes. You will be asked to assist in fundraising for the trip. This includes fundraising events, developing possible fundraising ideas, and chaperoning students who will be assisting with their fundraising portion. You will be required to attend training before the trip. Your application will not be considered if you cannot meet these requirements.

Once we receive your application, we will review it and reach out to you about the next steps in the selection process.

I attest that I have read and understand the requirements above.*

YesNo

Name*

First NameLast Name

Birth Date*

MonthDayYear

Social Security Number *

For Background Check. This form is encrypted and your information is secure.

Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Gender Identity*

Biological Sex*

Gender Marker on Birth Certificate

Email Address*

example@example.com

Phone Number*

Are you a US Citizen*

Graduated High School*

When and where did you graduate High School from?

Graduated College/University*

When and where did you graduate from university and what was your major.

Do you have experience engaging in conversational Spanish, or have you studied the Spanish language?*

Do you have any specialized training? (Ex: First Aid, EMT, CPR, Mental Health First Aid, etc.)*

If yes, please explain.

Do you have prior experience working with teens/youth?*

If yes, cumulatively how long?

Please describe your past experience including when and where you worked with youth.

Do you have experience engaging in or leading fundraising for a non-profit organization?*

The trip will involve daily walking. Are you physically able to perform this without limitations? Example: 7-mile night patrols on sandy beaches in the dark while at the conservation, walking around Puerto Viejo, hiking, etc.*

Are you eligible for a US Passport?*

Have you ever traveled abroad before? *

When and where did you travel. Please feel free to add any relevant details including the purpose of your travels (personal, study, work, other).

How did you hear about this opportunity to change students' lives?*

Please provide at least three character references. Both professional and personal are required.

Reference #1*

First NameLast Name

Relationship to you.*

Years Known.*

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Reference #2*

First NameLast Name

Relationship to you.*

Years Known.*

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Reference #3*

First NameLast Name

Relationship to you.*

Years Known.*

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Have you ever pleaded guilty, no contest, or been convicted of any criminal offense? *

If yes, please explain.

Has a report of child maltreatment ever been filed against you? *

If yes, please explain.

While employed working with or volunteering with children, have you ever been the subject of disciplinary action?*

If yes, please explain.

Agree to a Criminal Background Check?*

Travel Sparq Inc.'s values are compassion, tolerance, and harboring an adventurous spirit. Can you uphold those values as a chaperone?*

Define what you feel the impact of international travel has on a person. *

Define resilience in your own words.*

Define what being a positive role-model means to you and how you plan to be a positive role-model for our students.*

Is there any other relevant information that you haven't shared that should be considered?*

Please select how frequently you would like to be a chaperone. This is not static and can change as needed, but we would like to gauge how involved you'd like to be.*

Every trip (next trip is scheduled for 2026)Every other tripOnly as an emergency back-up chaperoneUnsure

I agree that the above information is completed to the best of my knowledge. *