Your details

If you're under 18, you will need to fill in the print version, and ask an parent or guardian to sign.

Passport

Experience

References

Please provide two references. If you attend a church, one should be your pastor.

Medical information

It is essential that your medical fitness allows you to participate in a Drop Inn trip without placing yourself, other trip participants or members of the general public at risk. If you are in any way uncertain, you must obtain advice from your GP to confirm your fitness to travel. You must not rely on any action taken by Drop Inn or one of its representatives before, during or after your trip to support your decision to travel.

You must get travel and medical insurance to cover the trip.

It is also your responsibility, prior to undertaking a trip, that you visit a travel clinic and follow their recommendations regarding vaccinations and medication for the trip. It is also your responsibility to make sure you have any medication you require for the duration if the trip (it is advisable to bring some extra as we are working in remote areas).

And finally

By submitting this form:

• I declare that all the information that I have offered on this application is true and correct to my understanding and that I have not withheld any information that could affect my acceptance on team.
• I confirm that I have given an accurate account of my state of health.
• I confirm I am not travelling against medical advice
• I confirm that I will advise Drop Inn of any changes relating to my health prior to departure.
• I understand that if the above information indicates my health /medical fitness would place myself or other trip participants, those we are working with or members of the general public at risk then I will not be allocated a space on the trip at this time.
• I understand and accept that involvement on a team is subject to me raising the full amount required prior to leaving Northern Ireland.
• I understand and accept that the decision regarding my application to participate on a team is at the absolute discretion of the Team Leader in consultation with Drop Inn management and I agree to abide by their decision.
• If selected, I willingly choose to participate in the trip and do not hold Drop Inn liable for any injury, damage, loss, additional expense, or inconvenience that occurs as a result of this trip. I fully agree to all the conditions set down regarding this trip and understand that failure to adhere to the conditions may result in my expulsion from the team. Any expenses incurred, as a result of this will be borne by me. I have read and fully understood the terms of this statement.
• I give Drop Inn permission to use trip photography and videography that has been taken by me and includes me for promotional purposes.