2017 Adoptees Giving Back - Orphanage Service Trip

TRIP 1: June 28 - July 8, 2017
TRIP 2: July 12 - July 22, 2017
Hunan Province

Application Deadline: February 1, 2017

Application fee: $50*

*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 your future application.

Personal Information
First Name:  
Last Name:  
Chinese Name:  
Birth Date:
(i.e 12/12/1985)
Birth Province:
Adoption Date (if you remember):  
Zip Code:  
Primary Phone:
Applicant Email:
Secondary Email:  
Which 2017 AGBOST are you applying to? (Trip 1 or Trip 2):  
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 agbost@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:  
- Cannot be a family member
- At least two must be a professor/supervisor
- Please be sure to notify your references to keep an eye out for emails from agbost@adopteen.org
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 in non-refundable.
  • Should you end up travelling, your $50 application fee will be applied towards your total Trip Fee with the remaining $1050 to be paid in full by April 14, 2017.
  • Should you cancel your travel plans for any reason on or before April 14, 2017, your $1050 will be refunded.
  • Should you cancel your travel plans after April 14, 2017, 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. You may also visit us on Facebook and Twitter!

Please direct any AGBOST-related questions to adam@adopteen.org or call us at (303) 850-9998 x26.

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 24 hours, please email adam@adopteen.org or call us at (303) 850-9998 x26.