Staff Trip Application - Humanitarian Aid Organization for Orphans

Which trip have you been approved to apply for?*

Name as it appears on your passport (or how it will appear)*

It is crucial that we have your name exactly as it is written in your passport.

Date of Birth*

Address*

Street Address City State ZIP Code

Email **Please note: We will use this extensively as a way to communicate with you.*

Main Contact Phone*

Marital Status*

Do you have any special medical needs?*

Do you have any special dietary needs?*

Emergency Contact Person*

Emergency Contact's Phone*

Emergency Contact's 2nd Phone

Passport Issuing Country

Passport Number

Passport Expiration Date

Are you planning to fundraise all or part of the trip cost?*

Yes
No

Passport Copy (required unless you do not yet have a passport)

Max. file size: 256 MB.

Please upload a copy of your passport information page(.pdf, .img, .jpg). It can be a scan or just take photo with your phone as long at it's clear.

Acknowledgment: Statement of Faith*

I agree to The Boaz Project's Statement of Faith

Acknowledgment: Non-Refundable Deposit*

I understand that a non-refundable deposit of $150 will be due if this is my second trip in a calendar year and Boaz is not covering the airfare.

Your submission of this application online will count as a digital signature for the following statement: I understand that travel to a foreign country may include risks beyond the control of The Boaz Project, Inc. While I expect the leadership of The Boaz Project to use wise judgement, I will not hold it responsible for unexpected events, including lost or stolen passports, visas or personal items. Funds raised above the support requirements will be used at the discretion of The Boaz Project's board of directors. If I should be unable to attend the selected trip, costs incurred in my name will be covered through the funds raised on my behalf or be billed to me. I agree that The Boaz Project may use photographs of me or photographs taken by me with or without my name and for any lawful purpose, including such purposes as publicity, illustration, advertising, and web content. By initialing below & submitting this application, I indicate that I have read, understand, and agree to the terms above. I also claim that all of the information I have provided on this application is true to the best of my knowledge.

Enter your initials:*

Trip Application for Staff

Edit Email Preferences