Venture Trip Request Form

Venture Trip Interest Form

Contact Information

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Institutional Affiliation *

Proposed Trip Information

Proposed Dates for Trip (Please include year) *

Purpose of your trip (e.g. education, medical, construction, etc.) *

Goals of your trip *

Group Information

Number of Trip Leaders *

Estimated Group Size *

Sex of Participants *

Male Female Both

Age Range of Participants *

What airport will your group by flying out of? *

Trip Budget
The following questions concern the budget for your trip. We understand that you may not have all of the details regarding a proposed budget; however, we are unable to provide you without a draft itinerary without understanding what sort of funds your group is able to provide. For example, a group that has a service project budget of $2000 would not be able to build a home, but they would be able to complete smaller restoration projects.

What service project/activities would you like to do? *

Budget for your service project: *

Any questions about this trip? *

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Venture Trip Costs

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