2019 Adoptees Giving Back - Orphanage Service Trip
Application

TRIP 1: July 10 - July 21, 2019
TRIP 2: July 24 - August 4, 2019

Application Deadline: January 25, 2019*

Application fee: $50**

Before proceeding with the application form, please read the information available at the AGBOST information page, as the application process has changed this year.

**This application fee is non-refundable and will be applied to your total Trip Fee if you end up travelling. If you do not end up travelling with us and apply to a future AGBOST, this application fee can be credited towards a future application.

Personal Information
First Name:  
Last Name:  
Chinese Name:  
Birth Date:
(i.e 12/12/1985)
 
Birth Province:
Adoption Date (if you remember):  
Address:  
City:  
State/Province:  
Zip Code:  
Primary Phone:
Applicant Email:
Secondary Email:  
Which 2019 AGBOST are you applying to? (If you are available for both, please note "No Preference" - if you note a specific trip, we will assume you are not available for the other trip, and you may have a lower chance of being selected):  
Preferences
I have a specific diet
(i.e. Vegetarian, Vegan, Gluten Free, Dairy Free, etc.):
I am allergic to certain foods
Please list allergies:
Other allergies
Please list allergies:
Any medical conditions we should be aware of?
Required Documents
Documents must be titled [Last Name]_[Document Name].pdf. All documents must be in PDF format and under 1.5MB each. If your documents are larger than 1.5MB each, please attach a document with just your name in it for each upload field and email your actual documents directly to info@adopteen.org with your name. Thank you!
Please upload Letter to Parent(s)/Guardian, signed (if over 18, please attach blank document):  
Please upload Letter to Applicant, signed:  
Please upload your completed Self-Assessment Questionnaire:  
*Please submit your application video file or link to info@adopteen.org*
References
References
- Cannot be a family member
- At least two must be a professor/supervisor
- Please notify your references immediately upon submission to keep an eye out for emails from info@adopteen.org - your application is not complete until references from supervisors have been received.
Reference 1 Name
Reference 1 Phone
Reference 1 Email
Relation to Applicant
 
Reference 2 Name
Reference 2 Phone
Reference 2 Email
Relation to Applicant
 
Reference 3 Name
Reference 3 Phone
Reference 3 Email
Relation to Applicant

Refund Policy:
  • The $50 registration fee is non-refundable.
  • Should you end up traveling, your $50 application fee will be applied towards your total Trip Fee with the remaining $1,200 to be paid in full by April 12, 2019.
  • Should you cancel your travel plans for any reason on or before April 13, 2018, your $1,200 will be refunded.
  • Should you cancel your travel plans after April 13, 2019, your refund will be processed after the deductions of the non-refundable application fee and other expenses/penalties caused by the cancellation.

Additional Information:
For more complete details about the Adoptees Giving Back Orphanage Service Trip, please visit the AGBOST information page.

Questions:
Please direct any AGBOST-related questions to info@adopteen.org or call us at (303) 221-6688 x 204.

Upon Submission of Application:

Please understand that submission of this application does not guarantee travelling on this service trip. You will receive an email immediately following your application to confirm the successful submission of your application. If you do not receive this email within one business day, please contact info@adopteen.org or call us at (303) 221-6688 x 204.