Apply for Program

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."

Vacations That Matter
Telephone: (709) 596-1004
Fax: (709) 596-5020
info@vacationsthatmatter.com
© 2002, VTM