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Travel Application

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First Name

Last Name

Email Address

Phone Number

CodeToHope Role CodeToHope Role Role 1 Role 2 Role 3 Role 4

How long have you been a volunteer for CodeToHope? How long have you been a volunteer for CodeToHope? 1-3 months 3-6 months 6-12 months 1-2 years

Why are you passionate about CodeToHope?

Why do you want to travel with CodeToHope?

Describe the projects and tasks you have worked on for CodeToHope in the last 6 months? Be sure to provide detail about the project, your role, the results of the project and a retrospective.

Please describe any past leadership experience you have had?

If accepted to travel with CodeToHope, briefly describe your goals for the trip.

Have you ever travelled internationally? Have you ever travelled internationally? Yes No

Traveling internationally requires a passport. Do you have a valid passport to travel with? Traveling internationally requires a passport. Do you have a valid passport to travel with? Yes No

You marked you do not have a valid passport. If you do not have a valid passport before departure, you will not be able to leave the country. Please ensure you have a valid passport before departure You marked you do not have a valid passport. If you do not have a valid passport before departure, you will not be able to leave the country. Please ensure you have a valid passport before departure Check here if you are in the process of renewing or applying for a new passport.

It is CodeToHope’s responsibility to book all flights and lodging for those attending and to provide a detailed itinerary for the trip, but CodeToHope does not cover trip costs for attendees. If you are accepted to attend the June 22-29, 2019 trip, the trip cost will be approximately $XXXX. Please note: if you are accepted, our CodeToHope team will work with you to make sure you are comfortably accommodated for your trip. We will ask further questions about individual needs after the application process is complete. It is CodeToHope’s responsibility to book all flights and lodging for those attending and to provide a detailed itinerary for the trip, but CodeToHope does not cover trip costs for attendees. If you are accepted to attend the June 22-29, 2019 trip, the trip cost will be approximately $XXXX. Please note: if you are accepted, our CodeToHope team will work with you to make sure you are comfortably accommodated for your trip. We will ask further questions about individual needs after the application process is complete. I understand I will be responsible for covering any and all costs of the trip that are associated to myself.

Traveling often requires having up to date immunization records. By checking this box you are verifying you have up to date immunizations or are willing to get the required vaccinations before departure Please note: CodeToHope will ask for you to provide proof of immunization before departure. Traveling often requires having up to date immunization records. By checking this box you are verifying you have up to date immunizations or are willing to get the required vaccinations before departure Please note: CodeToHope will ask for you to provide proof of immunization before departure. I understand I will be responsible for having all of the required immunizations before the trip.

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