Visitor Application
To be completed by all visitors who will be with us for two weeks or less. If coming to work alongside us for an extended period of time please use our Volunteer Application.
Unless waived by Gateway to Hope, visitors are expected to contribute $30 US per day for expenses. Contact Reinhard Neufeld for details.
Name of group you are arriving with
Each member of the group should use the same name. Leave blank if coming alone or with your spouse.
Name
*
First Name
Last Name
Age
*
Name of spouse (if coming with you)
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Country Code
-
Area Code
Phone Number
The above phone number can send & receive text messages
*
Yes
No
Mailing address
*
Select one of the following options:
Select
Group Leader (I will select the dates)
Group Member (my leader will select the dates)
Individual / Married Couple (I/we will select the dates)
If you are part of a group, only the group leader needs to select dates.
First choice arrival
-
Month
-
Day
Year
Date
First choice departure
-
Month
-
Day
Year
Date
To help us with scheduling please indicate a second date of arrival, if possible.
Second choice arrival
-
Month
-
Day
Year
Date
Second choice departure
-
Month
-
Day
Year
Date
Indicate whether or not you will need a ride from the Bucharest Airport (OTP). If "Yes" send us your confirmed itinerary including airline and flight number as soon as possible. If you are part of a group, only the leader needs to answer this question.
Yes
No
Unsure
Emergency contact
*
Someone who will NOT be in Rasa with you.
Relationship to applicant
*
Emergency contact phone number
*
-
Country Code
-
Area Code
Phone Number
Emergency contact email
example@example.com
Medical conditions or physical restrictions we should be aware of
Dietary restrictions
Indicate life threatening / significant dietary rescrtictions you NEVER cheat on.
Anything else we should be aware of?
I (and my spouse, if applicable) have read the FAQ section of Gateway to Hope's website and agree to abide by the policies stated therein.
*
Yes
No
Submit
Should be Empty: