Frontier Projects Inc
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Haiti
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Journey Application - Haiti
2021 Journey of Transformation
2019 JOURNEY OF TRANSFORMATION
2018 Journey of Hope
Haiti 2017 Journey of Hope
Haiti 2016 Journey of Hope: Read the Story
Haiti 2015 - Journey of Hope - Read the Story
10factor
Bouvier School Projects
>
Bouvier School Farm
Kshare - iNSPIRED EDUCATION PARTNER
Bouvier Staff
Building Projects
Alyssa in Haiti
Mattie in Haiti
Australia
Covid 19 Relief Support Packs
Volunteer Application
Thailand
Frontier With Love Projects
Share The Love & Give
Events
100 DAYS TO CHANGE 100 LIVES
Hope 4 Haiti Dinner 2022
>
H4H Auction - Pay for an Item
SimonGCM21
Hope 4 Haiti
Power of 1 Projects
2021 Journey Application:
Personal Information
*
Indicates required field
Name
*
First
Last
First and Last Name as appears on your Passport
Email
*
Correspondence will be via email.
Preferred First Name / Nickname
*
Preferred Name for Correspondence / Journey
Home Address
*
Full Address including Post Code / Zip & Country
Home Phone
*
Include: Country + Area Code. If you don't have a home phone, write 'none'.
Mobile Number
*
If you don't have a mobile/cell phone, write 'none'.
Date of Birth
*
DD/MM/YYYY
Any applicants under the age of 18 must have parent permission. However, all applications will be assessed through a personal meeting or Skype call and then approval can only be given via the Frontier Projects Haiti Committee
*
I am under 18 years, and I understand the above approval process
Not applicable (over 18 years)
T-Shirt Size:
*
Youth Size - See below
Xtra Small
Small
Medium
Large
Xtra Large
Xtra Xtra Large
Other - See Below
For FP Team T-Shirt
Child / Other Size
*
Passport Information:
Full Name as on Passport
*
Expiration Date:
*
Passport Number:
*
Emergency Contact:
Emergency Contact Name:
*
Emergency Contact Home Phone:
*
Emergency Contact Email:
*
Emergency Contact Relationship:
*
Emergency Contact Mobile /Cell / Work Phone:
*
Spouse Name:
*
Write N/A if Not Applicable
Children's Names and Ages:
*
Write 'N/A' if Not Applicable
Background Information:
Have you ever travelled Overseas?
*
Yes
No
Have You Ever Undertaken Humanitarian, Volunteer , Mission Work? Tell Us Briefly About Your Experience:
*
Tell us a little about why you would like to journey with FP to Haiti:
*
Faith: We welcome anyone from any faith / no faith backgrounds. Please understand and respect that we partner with christian NGOs (primarily) in the communities we serve.
*
I have a personal relationship with Jesus Christ
I believe there's a God
I am from another faith (please detail below)
I'm not sure what I believe
No personal faith beliefs
Faith - any further brief details:
*
Team Skills and Team Roles:
We believe that each one of our team members has something only they can contribute to the team dynamic.
It is our desire to you feel comfortable within the team in a role that is suited to your skills, aptitude and passion.
Please indicate any areas you are particularly interested in: (eg. Construction, teaching, medical, nursing, working with children, languages, artistic, photography, worship, prayer etc.)
Skills / Interests / Experience. Brief Details:
*
Limitations:
Medical Release:
Have you had any surgery, major health problems (physical/ mental/ emotional) or been under a physician’s care within the past 3-5 years?
*
Yes
No
If Yes, give brief details:
*
Allergy Information:
Please list any physical or medical limitations that may affect your ability to participate:
*
Do you have any existing medical conditions that could require extensive medical treatments?
*
Yes or No
Do you have allergies to any medications?
*
Yes
No
If Yes, give brief details:
*
Do you have special food requirements or food allergies?
*
Yes
No
Please list all prescription and non-prescription medications your are currently taking (including dosage):
*
Do you have any other allergies (e.g. bee stings, etc.)?
*
Yes
No
Team Participation, Payment and Travel Agreement:
While we make every possible effort to have your trip run smoothly, the nature of traveling to/from and within these nations can present challenges, as with travel to many developing nations. Please understand that circumstances may change without notice or explanation and we will do our best to keep you informed.
If Yes, give brief details:
*
I agree to work with the team as a whole and work cooperatively with each individual on the team. I also agree to respectfully follow all reasonable directions from FP leadership.
*
I Agree
Funds are due according to the following schedule: $500AU deposit due after your Journey Application has been accepted. Further 1 instalment of $1500AU at least SIX weeks before the trip. A full Trip Schedule, Deadlines & Information Pack - will be emailed to you once your Application has been accepted.
*
I understand and agree
If Yes, give brief details:
*
In the event of a personal emergency or conflict that requires a change in my travel itinerary, I understand that it is my responsibility to pay any additional costs/fees associated with this change.
*
I understand and agree
The information on this form is accurate to the best of my knowledge.
*
I agree
The trek to Bouvier School involves a mountainous 6-hour trek. While you don't have to have the fitness of an athlete, it is important that you must have a reasonable level of fitness.
*
I have a high level of fitness
I have a moderate level of fitness
Any further comments about fitness:
*
In the event of a personal emergency that prevents me from attending this Journey altogether, I understand that funds I have already paid will be refunded to me IF POSSIBLE, and ONLY if they have not already been used to purchase food, materials or anything on my behalf when it was understood that I was attending.
*
I understand and agree
I understand that I am responsible for the full cost of the trip before departure on Journey. I agree to personally pay any remaining balance before departure. The total trip fee is $2000AU. This includes in-country transportation, all meals, all water / drinks, accommodation @ the mission, and a percentage going to our project/s on the ground. It does not include airfares, passport or ESTA fees, immunisation costs, travel insurance or spending money.
*
I understand and agree
I will complete a Direct Deposit of the Deposit of $500 AU when my application is accepted: Electronic transfer to 'Frontier Projects Haiti' Account. BSB: 082551 Account Number: 143707732
*
Yes
Every effort will be made to make this trip as safe as possible. However, some portions of this trip will be physically strenuous. Our team are required to carry their own luggage. When trekking up to Bouvier, team members are only required to carry their own personal backpack. Rest rooms are not always readily accessible and may be primitive at times. Portions of the trip may require considerable amounts of walking. The weather in these nations can be very hot and humid and can affect your overall strength and energy. Team members will be eating food native to the culture, which may affect your digestive system. Please be aware that medical facilities in these countries are limited and may not be comparable to what is available in your home country. If needed, we may require a letter from your physician.
When you have completed this application and paid your deposit, a very detailed 'Welcome to the Team', 'What to Bring'' and 'Important Information' email will be sent to you.
If you live in or near Coffs Harbour, Australia, we will also meet with you in person. If not, we will meet with you via Skype/ ZoomRoom. If you are on FB, then we will add you into our Team Group Messenger Chat.
We will go through all the trip details with all our team and answer any questions you may have.
Any further Questions or Comments?
*
Electronic Signature:
*
Just type your 'signature' in here
Parent / Legal Guardian Electronic Signature if under 18 years of Age:
*
Write N/A if not applicable
Date Signed:
*
Submit
Home
About Us
Our Manifesto
Support/ Sponsor
SimplyGive
Simply Sponsor
Simply Re-Sponsor
SimplyDonate
Contact My Sponsor Child
Donate to our Building Projects
Give With Mike
Gifts that Change Lives
Sponsor Girls Education with Womens Reproductive Care
Haiti
Blog
COVID 19 FP Haiti Protocols
Love Community
>
LCH 15th Anniversary
Yndjy Belval - Love Community Social Worker
Love Family Homes
>
cnnfp
Libellule Training Academy
>
LTA Team 01
LTA From Zion Team 01
Journey With Us
>
Journey Application - Haiti
2021 Journey of Transformation
2019 JOURNEY OF TRANSFORMATION
2018 Journey of Hope
Haiti 2017 Journey of Hope
Haiti 2016 Journey of Hope: Read the Story
Haiti 2015 - Journey of Hope - Read the Story
10factor
Bouvier School Projects
>
Bouvier School Farm
Kshare - iNSPIRED EDUCATION PARTNER
Bouvier Staff
Building Projects
Alyssa in Haiti
Mattie in Haiti
Australia
Covid 19 Relief Support Packs
Volunteer Application
Thailand
Frontier With Love Projects
Share The Love & Give
Events
100 DAYS TO CHANGE 100 LIVES
Hope 4 Haiti Dinner 2022
>
H4H Auction - Pay for an Item
SimonGCM21
Hope 4 Haiti
Power of 1 Projects