Vacation with a purpose Zimbabwe Dec 2017

Hope is the Spark that Changes Lives

Vacation with a Purpose - Zimbabwe (Dec 25, 2017 - Jan 7, 2018)
  1. Please note that this team is a open team - Team Fisher

    VWP Zimbabwe

    Join us on a Volunteer with a Purpose trip to Matopos, Zimbabwe. Our work in Zimbabwe is very community oriented and we will work side by side with the local people to make our work a success. Some of the projects might include:
    - Finishing the construction of a pre-school building
    - Minor construction
    - Painting projects
    - Setting up playground equipment
    - Sewing projects
    - Playing with babies and children
    - Teaching English
    - Building fences
    - Helping with goats

    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.

    Read more about this Vacation with a Purpose to Zimbabwe by clicking here.
    The schedule for the trip can be found here.
    If you would like to register for this trip, please complete the application that can be found below.

    Vacation with a Purpose in Matopos and Bulawayo, Zimbabwe.

    Dates of VWP: December 25th, 2017 - January 7th, 2018
    Team Name: Team Fisher
    Cost of event: $2350 plus airfare
    Team Capacity: 12

    If you're interested in other Vacation with a Purpose opportunities, 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)(*)
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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
    Please enter your passport number
  25. Expiry Date (mm.dd.yyyy)
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  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?(*)
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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
    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(*)
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  71. Comments (If you have anything further that you'd like us to know)
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  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
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