Expression of Interest Questionnaire

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Quaker Study Tour: July 10 - 25, 2024

QUAKERS in BOLIVIA: CLIMATE CHANGE IMPACTS and ADAPTATION

Please take a moment to fill out this pre-registration questionnaire to let us know of your interest in and understanding of what is needed for participation in the trip, and so we can keep you updated! Your answers will help us learn more about you and any special needs or preferences you have.

Children and teens under the age of 18 must be accompanied by an adult. While there are no strict age limitations for this trip please consider physical mobility and capacity to participate in the many visits to rural communities, bus rides, evening presentations, and walks at high altitude. If you have any questions, please email: qst.bolivia@gmail.com

*Each individual needs to fill out this form, even if you are traveling as a family or with friends.

First Name *

Last Name *

Street Address *

City *

State / Province *

Country

Zip Code or Mailing Code *

Phone with Country Code and Area Code *

Email *

Is your passport valid through January 2025? Bolivia has a "Six-Month Rule." If a passport expires within six months of the traveler's arrival date, you may not be allowed to enter the country.
*

Yes

Other:

For U.S. citizens you will need to obtain a Bolivian visitor visa upon arrival in Bolivia ($160 US)?
*

I understand

N/A for participants outside of the U.S.

Other:

If you wish to participate in the 2024 Bolivian Quaker Study Tour please check the following four boxes outlining your understanding of the financial commitment the tour will require. Use the "other" box if you have a question or comment.

I am interested in applying to participate in the 2024 Bolivian Quaker Study Tour.

Once confirmed, I will make the $700 deposit to BQEF by the April 30th, 2024 trip deposit deadline.

I understand that my deposit is refundable only if my space is filled by someone from a waiting list, or if the trip is cancelled by BQEF.

I understand that the second payment of $750 is due on May 15th and the third and final payment of $750 is due on June 15th.

Required

If you have a Quaker affiliation please tell us about it. (Optional)

Do you have any experience walking and visiting at high altitudes? Use "other" to explain. *

Yes

Other:

We may be walking distances of a half mile at high altitude. Please rank your capacity for physical activity. *

I can handle and enjoy strenuous activity.

I can handle and enjoy moderate activity.

I can handle and enjoy light activity.

Describe:

Other:

Required

Do you have any access requirements that you would like us to know about? YES / NO If yes, use "other" to explain. E.G. walking sticks, anxiety, hearing or vision impairment. *

Yes

Other:

Required

Spanish language proficiency *

None

Beginner

Intermediate

Fluent

Required

Our trip fee is based on double-room lodging. If you are traveling with friends or family and would like to share a room with them please mention their names in "other".

I require single room lodging and will pay an additional $185 USD to cover this cost.

I am comfortable with double lodging (We will pair people carefully!)

I will be traveling with friends or family and I would like to room with them.

Other:

Clear selection

What are some of your goals for attending the Quaker Study Tour? *

What are the best times of day/week for you to take part in a pre-trip zoom call? Please include your time zone.
*

Thank you for taking the time to fill out this form. We will be in touch with you soon!

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms