Group Member Application

CONTACT INFO

First Name*

Last Name*

Email*

Mobile Phone

Home Phone

Date Of Birth*

Country Of Nationality*

Country Of Residence*

Your Preferred Method Of Contact*
EmailPhoneWhatsAppZoomGoogle MeetingsSkypeOther

Best Time To Speak*
MorningsLunch TimeAfternoonsNightsDoesn't Matter

Enter The Name Of Your Group/Group Leader/Organizer*

BACKGROUND INFO

How Will You Fund Your Project/Trip?*
Personal FundsGrantFinancial AidFundraisingSponsorshipOther

Do You Possess Any Criminal Convictions? If Yes, Please State Them*

What Is Your Current Occupation?*

Enter Your Home Address*

Name Of Your Emergency Contact*

Emergency Contact Email*

Emergency Contact Phone Number

What Is The Emergency Contact's Relationship To You?*

MEDICAL BACKGROUND

Do You Suffer From Allergies? If Yes Please List Them

List Any Dietary Restrictions That You Have

Are You Currently Undergoing Any Medical Treatment? If So Please Specify

Have You Ever Received, Or Are You Receiving Medical Treatment For Any Physical Or Psychiatric Conditions? If So Please Give Details

Have You Suffered Any Recent Injuries? If So Please Specify

Do You Have Any Disabilities? If So Please Specify

Have You Been Vaccinated Against COVID19?*

Please List Any Additional Comments Or Questions

How Did You Find Us?*
Group LeaderGo AbroadGo OverseasGoogleBingStudy Abroad.comSocial MediaReferralOther

Upload Any File(s) You Have

(YOU MUST CHECK THIS) By Submitting This Application Form I Agree To Be Bound By The Terms And Conditions Of Jamaica International Projects Outlined Here: Terms & Conditions Of Service

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