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If
you or your group or organization is interested in participating
in our "Vacations That Matter" project, contact us by
completing the form below.
We
will review your application, determine if you would be a good
fit for the program you want to enter, and contact you for further
information once the review process is completed.
Your
Full Name:
Name
of Group (If applicable):
Number
in Group (If applicable):
E-mail Address:
Telephone Number:
Fax Number:
Mailing Address:
Name
of Project:
My Goal in Applying for Project:
Relevant
Education and Training For Project:
I
can supply three references - _____yes _________n0
I can supply a certificate of good conduct from my local police
department - _______yes ____________no
I have an up-to-date passport - ________yes __________no
I can supply a certificate of good health - ________yes __________no
I can supply evidence of health insurance - __________yes _______no
Dates of When I Could Attend:
Questions
you have about "Vacations That Matter." |