Vacation with a Purpose Kenya - Team Mango (July 15 - 28, 2017)

Hope is the Spark that Changes Lives

Vacation with a Purpose Kenya - Team Mango (July 15 - 28, 2017)
  1. This is an open team

    VWP Kenya

    Join us on a Volunteer with a Purpose trip to Miwani, Kenya. This is a very self-directed volunteer experience, and each day you can decide what you'd like to do, how you’d like to help, and how you would like to spend your time. Working in coordination with the Restoring Hopes Ministry, our team may participate in variety of projects that they would like us to help with. Some of those projects may include:
    - Painting the local school
    - Painting the local clinic
    - Sewing training
    - Gardening – they would really like someone with knowledge/ experience in use of agricultural chemicals, fertilizers, pest control measures, composite manure making
    - Helping clinic administration with a number of projects such as database management and newsletter creation
    - Helping in the clinic
    - Community medical outreach
    - Photography training
    - Micro finance (saving and credit scheme)
    - Nutrition training

    You don’t need to be an expert at any of these topics – there will be many ways that each of us can help this community. Let us know what special skills you have, and we’re sure we can put them to use!

    This volunteer trip is in support of the American Foundation for Children with AIDS. This initiative is designed to show you a bit of one of the countries where AFCA works and to help us raise funds for AFCA’s programs.

    If you would like to register for this trip, please complete the application that can be found below.

    Vacation with a Purpose Kenya - Team Mango

    Dates of VWP: July 15 - 28, 2017
    Cost of event: $2050 plus airfare
    Team Capacity: 10
    Last day for full payment: 45 days before the trip

    If you're interested in other Vacation with a Purpose oppportunities, look here.

    After you have completed the application form below you will also need to submit a $300 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
    Please type your full name.
  4. Last Name(*)
    Please type your full name.
  5. Preferred Name(*)
    Please type your preferred name.
  6. Address(*)
    Please type your address.
  7. City(*)
    Please type your city.
  8. State / Province(*)
    Please enter your state/province.
  9. Zip / Postal Code(*)
    Please enter your zip/postal code..
  10. Country(*)
    Please type your country.
  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)(*)
    Invalid Input
  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
    Please enter your passport number
  25. Expiry Date (mm.dd.yyyy)
    Invalid Input
  26. Place of issue
    Please enter your passport's place of issue.
  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?(*)
    Invalid Input
  29. Previous volunteer experience (please describe, including where and when)(*)
    Invalid Input
  30. Previous international travel experience (please list countries and length of stay):(*)
    Invalid Input
  31. Please list any special skills (first aid, photography, writing, construction, etc):(*)
    Invalid Input
  32. LANGUAGES (Other than English)

  33. Fluent
    Please type your full name.
  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. PERSONAL HEALTH 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.

  61. Company
    Please enter the name of the company.
  62. Policy number
    Please enter the policy number.
  63. Insurance agent
    Please enter the insurance agent.
  64. Agent phone
    Please enter the agent's phone number.
  65. Coverage includes emergency evacuation?
    Please enter if coverage includes emergency evacuation.
  66. 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.

  67. REGISTRATION FEE

    A $300 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.

  68. 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.

    - VWP Participant Acknowledgement form
    - VWP 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

  69. PAYMENT POLICIES

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

  70. I agree to AFCA's payment policies(*)
    Invalid Input
  71. Comments (If you have anything further that you'd like us to know)
    Invalid Input
  72. 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.

  73. Please enter the code without spaces between the letters in the box below(*)
    Please enter the code without spaces between the letters in the box below
      RefreshInvalid Input

facebook twitter youtube instagram pinterest 

 

Get involved today and make a child's life better!

 

Contact Us

Stay Informed

Subscribe to our newsletter
Like us on Facebook
Follow us on Twitter

Contact Us

American Foundation for Children with AIDS
6221 Blue Grass Avenue

Harrisburg, PA 17112

Tel: (888) 683-8323
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

S5 Box

×

Sign up for newsletter

Complete the form below to keep updated on AFCA's news:

Please let us know your name.
Please let us know your email address.