GAP YEAR BASE CAMP SURVEY
WELCOME! We are so excited that you are embarking on the journey of a life time. We are here to make it the best year possible for you! There are so many options and logistics to consider. This survey is designed to help you focus on areas you would like to pursue and to help us find great options for you. Take your time and feel free to share your goals and vision for the upcoming year. If you're not sure of your answers, don't worry at all. We are here to help and inspire.

Gap Year Base Camp and its staff are proud to work with people of all orientations, abilities, ethnic origin, gender, gender identity, marital status, nationality, race, religion, sexual orientation, and socioeconomic status.We believe that the very truest essence of a gap year experience is one of inclusivity.
Email address *
Name: *
Your answer
Age: *
Your answer
Date of Birth: *
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Gender
Home address: *
Your answer
Current address:
Your answer
Phone: *
Your answer
Is texting OK? If number is different from above, please enter.
Your answer
Parent/Guardian names: *
Your answer
Married/Divorced/Other (Please Explain)
Your answer
Siblings - name/age *
Your answer
Parent’s address/ phone if different from above
Your answer
When do you want to leave and for how long? *
Your answer
How many experiences do you hope to have? *
Your answer
What language(s) have you studied and for how long? *
Your answer
Are you interested in learning a language? Which one?
Your answer
I am in *
If you are in school, please give us the name of your school and your current year/grade. *
Your answer
If you are not in school or are beyond this stage of your life, what are you doing now and why are you considering time away? *
Your answer
Have you traveled outside the continental United States? If yes, where? *
Your answer
Do you enjoy camping and nature? *
Do you enjoy physical activities and being pushed physically? For example, hiking, skiing, backpacking, cycling, running or trekking? *
Please share your favorite hobbies and interests. *
Your answer
Have you travelled in developing countries? For how long? *
Your answer
What past experiences, jobs, or projects might help to build a foundation or further an interest in your gap experience? *
Your answer
Have you had any meaningful volunteer experience? Did you enjoy it? *
Your answer
What is your level of comfort with foreign travel? *
What areas of the world are you most interested in visiting and experiencing? *
Required
Feel free to add a more detailed answer about where you might want to go. And keep in mind that you can go to many different places!
Your answer
What is your ideal climate?
What is your ideal environmentI?
How long would like for your gap experience to last?
What is your budget for your Gap Experience?
Your answer
What types of programs are you considering?
Do you prefer to live in a home stay with a family, in a dorm, hostel or volunteer guesthouse, or some other setting?
Are you willing and able to travel alone or would you rather be with a group of peers?
Your answer
Which of these topics interest you
What is your reason for wanting to have a GAP experience.
Your answer
What are your strengths?
Your answer
What scares you a bit about a gap year experience?
Your answer
Do you have any physical, medical or psychological conditions for which you have been treated that require medication?
Your answer
What are your personal goals for your gap experience?
Your answer
Is there any other additional informational that you would like to include?
Your answer
Thank you for completing this survey! Once we receive your questionnaire we will be in touch and will begin the process! What is the best way to connect?
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