Travel Team Application 2018-2019

Address *
Date of Birth
Date of Birth
Emergency Contact
Emergency Contact
Ex: 412-123-4567
Ex: Honduras, Operation Walk Pittsburgh, 2015
Please provide his/her name in addition to determining your connection
Persons with severe allergies will be required to carry an epipen during travel.
Travel Team Timeline and Fundraising Terms
Although we would like to accept all qualified candidates to be a part of the Travel Team, we are unable to do so because of space constraints. Be advised that even though you may have been a travel team member with Operation Walk Pittsburgh in the past, it does not guarantee you a position on this year’s trip. Please read the following sections carefully. If you are unable to consent to any of the requirements at this time, we are happy to invite you to apply for a future trip.
As a travel team member, I commit to the timeframe and amount specified for fundraising, or donating 100% of the specified amount, according to my role, which will support my participation in Operation Walk. *
I understand that, upon invitation to join the Travel Team and accepting the invitation, a non-refundable donation of $250 is due to secure my position. If the donation is not received, my spot may be given to another applicant. *
I understand that, upon selection, I will be required to submit a copy of my driver's license, passport, CV and any required medical license or certification documents. *
By submitting this form, I agree that an Operation Walk representative can contact me using the above information. *