St. Croix, U.S. Virgin Islands Experience Application

Your Name

PrefixFirst NameLast Name

Email

example@example.com

Contact Number

Please enter a valid phone number.Format: (000) 000-0000.

Program Selection

Participant Type: Are you currently a student or working professional

Other

What is your current academic classification?

What is your current GPA?

(Use a 4.0 scale) Indicate N/A if it does not apply

Do you have any dietary restrictions?

Other

How did you hear about this program?

Other

Emergency Contact Name

Emergency Contact Number

Please enter a valid phone number.Format: (000) 000-0000.

Trip Interest Form

Thank you for your interest in our upcoming trip!

Trip Details:

Capacity: 2-16 participants
Cost: $3,250.00

Payment Schedule:

Deposit: $250.00 (due by May 31, 2026)

Make payments here: https://www.icandocaribbeansocialwork.com/donate

We will meet as a community bi-weekly from 7:00 PM to 8:00 PM to address questions, provide updates, and prepare for our departure.

Kindly submit your information to confirm your interest and commitment. We look forward to traveling with you!