Climb Up Nepal - March 2018

Hope is the Spark that Changes Lives

Climb Up: Nepal - Team Weaver (open team)
  1. Bigu, Nepal

    Join us on a working vacation in Nepal.  This is a very self-directed volunteer experience – it’s up to you to make yourself as useful as you want to be. The team will be helping to do whatever we can to aid in the rebuilding of the nunnery in Bigu. It will be hard work and challenging living conditions. However, the scenery, the resilience of the local people, the spirit and energy of the nuns and the work we will do should provide more than enough inspiration!

    Here are a few projects that you might help with:
    - working alongside local laborers in construction
    - gardening
    - helping in the kitchen
    - teaching classes such as conversational English, sciences and math, basic bookkeeping, life skills or first aid

    If you have a special skill or training, let us know – we’ll put it to use! There will be no lack of things to do to keep you as busy as you want.

    Bigu, Nepal

    Read more about this trip to Nepal by clicking here.
    If you would like to register for this trip, please complete the application that can be found below. However if you prefer to fill in the application by hand, please download the application package.

    Climb Up: Nepal - Team Weaver (open team).

    Dates of trip: March 23 – April 6, 2018
    Basic trip cost: $3500
    Team Capacity: 10
    Last day for full payment: 90 days before the trip

    Click on the following links to view other teams that support our work:

    - Vacation with a Purpose
    - Climb Up Kilimanjaro
    - Climb Up New Zealand
    - Climb Up Peru

    After you have completed the application form below you will also need to submit a $500 non-refundable and non-transferable deposit via our online donation page, in order to be part of the team. More details are given below.

  2. First Name(*)
    Please type your full name.
  3. Middle Name
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  4. Last Name(*)
    Please type your full name.
  5. Preferred Name(*)
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  6. Address(*)
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  7. City(*)
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  8. State / Province(*)
    Please enter your state/province.
  9. Zip / Postal Code(*)
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  10. Country(*)
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  11. Home Phone(*)
    Please enter your phone number.
  12. Cell Phone(*)
    Please enter your phone number.
  13. Email (preferred means of communication)(*)
    Please type your email address.
  14. Citizenship(*)
    Please type your citizenship.
  15. Date of Birth (mm.dd.yyyy)(*)
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  16. Gender(*)
    Please enter your gender.
  17. Occupation(*)
    Please type your full name.
  18. If student, school name
    Please type your full name.
  19. Traveling with a companion or group? (*)
    Do you have asthama?
    (Each person must fill out their own application)
  20. Group name
    Please type your full name.
  21. Companion name
    Please type your preferred name.
  22. Companion relationship
    Please type your address.
  23. PASSPORT INFORMATION

    Please complete your passport information below. If you do not currently have a valid passport, please send through the information to us as soon as it becomes available.

  24. Passport Number
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  25. Expiry Date (mm.dd.yyyy)
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  26. Place of issue
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  27. ADDITIONAL INFORMATION

    Please complete the information below. This information helps us to better understand why you want to participate in this trip and how your skills can be of even greater benefit.

  28. Why are you interested in participating in this event?(*)
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  29. Previous volunteer experience (please describe, including where and when)(*)
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  30. Previous international travel experience (please list countries and length of stay):(*)
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  31. Please list any special skills (first aid, photography, writing, construction, etc):(*)
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  32. LANGUAGES (Other than English)

  33. Fluent
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  34. Conversational
    Please type your preferred name.
  35. Beginner
    Please type your address.
  36. Physical Fitness(*)



    Please enter your physical fitness.
  37. HEALTH

    In the case that you do not have anything to write in the next section, please type 'none'

  38. Medications you currently take(*)
    List medications you currently take. If the case of none, type 'none'
  39. Special Dietary requirements(*)
    List any special dietary requirements. In the case that you don't have any, please type 'none'.
  40. Allergies, physical limitations, handicaps, etc.(*)
    Please list any allergies, physical limitations, handicaps, etc. that you may have. In the case that you don't have any, please type 'none'.
  41. EMERGENCY CONTACT INFORMATION

    In the case of an emergency whilst participating in our event, please complete the following information.

  42. Name(*)
    Please enter the name of the person to be contacted in case of an emergency.
  43. Relationship(*)
    Please let us know what is your relationship with the emergency contact.
  44. Address(*)
    Please enter the address.
  45. City(*)
    Please type the city.
  46. State / Province(*)
    Please enter the state/province.
  47. Zip / Postal Code(*)
    Please enter the zip/postal code..
  48. Country(*)
    Please type the country.
  49. Day phone(*)
    Please include the telephone number of your emergency contact person during the daytime.
  50. Night phone(*)
    Please include the telephone number of your emergency contact person during the nighttime.
  51. PERSONAL PHYSICIAN INFORMATION

    In the case of an emergency whilst participating in our event, please complete the following information. if you don't currently have the information, please write 'unknown' in the different fields but provide this information at a later date.

  52. Name(*)
    Please enter the name of your physician.
  53. Address(*)
    Please enter the address.
  54. City(*)
    Please type the city.
  55. State / Province(*)
    Please enter the state/province.
  56. Zip / Postal Code(*)
    Please enter the zip/postal code..
  57. Country(*)
    Please type the country.
  58. Day phone(*)
    Please include the telephone number of your physician during the daytime.
  59. Night phone(*)
    Please include the telephone number of your physician during the night.
  60. TRAVEL INSURANCE INFORMATION

    NOTE: You are responsible for procuring your own travel medical insurance, including emergency evacuation insurance. AFCA must receive a copy of your travel insurance prior to your departure.

    Please be sure to read your travel insurance benefits and coverage information to ensure that you have medical coverage for the country you are visiting.

  61. REGISTRATION FEE

    A $500 non-refundable and non-transferable deposit needs to be paid along with this application.

    This should be paid our online giving page at givedirect.org, which can be found here. In the Comments field under 'Section 2 Donation Information', type in the host country location and dates for the team you are joining.

  62. FURTHER INFORMATION

    After completion of this application form, you will also need to download the following forms which need to be completed and signed and then sent to AFCA.

    - Participant Acknowledgement form
    - Release Waiver form

    These forms should be either scanned and emailed to Tanya Weaver at tweaver@afcaids.org or mailed to AFCA at the address below.

    American Foundation for Children with AIDS
    6221 Blue Grass Avenue
    Harrisburg, PA 17112
    USA

  63. PAYMENT POLICIES

    On advancement of registration fee to AFCA and by checking the check box below, you agree to AFCA's payment policies.

  64. I agree to AFCA's payment policies(*)
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  65. Comments (If you have anything further that you'd like us to know)
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  66. SUBMIT YOUR APPLICATION

    You've now completed the application form. Please make sure the information is correct and then complete the code in the box below and click on submit.

  67. Please enter the code without spaces between the letters in the box below(*)
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