Clone of Nuestra América Flotilla

1
Full name | Nombre completo | Nome completo* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Organization | Organización | Organização* This field is required.
4
What role can you play in the mission? | ¿Qué papel puede Ud. su organización en la misión? | Qual papel pode desempenhar na missão?* This field is required.
Please Select
Organize a delegation / Organizar una delegación / Organizar uma delegação
Provide a boat / Adquirir un barco / Adquirir um barco
Crew a boat / Tripular un barco / Tripular um barco
Fundraise / Recaudar fondos / Arrecadar fundos
Collect aid / Recoger ayuda humanitaria / Recolher ajuda humanitária
5
Experience relevant to your selected role(s) | Experiencia relevante para el puesto o puestos seleccionados | Experiência relevante para a(s) função(ões) selecionada(s)
Huge
Large
Normal
Small
Ok
Ok
6
Details of aid your organization can collect | Detalles de la ayuda que su organización puede recaudar | Detalhes sobre a ajuda que sua organização pode coletarPlease refer to the Caravan website for a list of needed aid. To the best of your ability, please try to provide the specific quantities of aid you plan to deliver.
Huge
Large
Normal
Small
Ok
Ok
7
Point of Departure | Punto de partida | Ponto de partida* This field is required.
8
Date of Arrival | Fecha de llegada | Data de chegada* This field is required.
Should be Empty: