Team Information We ask that all teams plan their travel in and out of Haiti on Saturdays. Team leaders should work with their team members to secure travel that puts the entire team at the Port-au-Prince airport at close to the same time. Emergency Contact Information Relationship Choose an option Spouse Mother Father Sibling Other More About You Would you like to expand on this? Do you have specific goals that you would really like to accomplish in this trip? How is your health? Choose an option Excellent Pretty good Not too bad Not too good Please list any restrictions (physical limitations, allergies) you may have and medicines you are currently taking. (If none, please indicate such.)
I understand that Mission of Hope International will provide meals for me daily, according to their menu selection and that they do NOT provide individualized menus based on dietary restrictions or choices. I also understand that there may not be opportunity or availability to purchase special item in Haiti. I agree to bring my own nonperishable foods with me to augment the prepared meals.
Please list any skills that you have Additional comments/details concerning skills Please explain how you think your skills could benefit MOHI and the people we serve in Haiti. Are you willing to pack your belongings in a carry-on and carry down one checked bag of supplies for MOHI?
I understand that Mission of Hope International is not to be held responsible for expenses incurred by illness or accident during or subsequent to my stay in Haiti. I agree to provide my own personal accident/health insurance.
I agree to abide by both the written and verbal instructions of Mission of Hope International and their leadership. I understand that failure to do so may submit me to an early departure from Haiti at my own expense.
Checks should be sent to
Mission of Hope International
PO Box 884
Gardner MA 01440 Payments may also be made online at www.mohintl.org/donate
I understand that the cost of staying at MOHI is $600 for 7 nights, $85 for each additional night and is to be paid at least one month in advance of my sheduled stay in Haiti. I further understand that a $100 non-refundable deposit is required to reserve a date/space at the missionary compound in Haiti and that no guarantee of room will be given until such deposit is received.
All information contained herein is accurate and true, to the best of my knowledge. OR Submit