Online Ambassador Application: Frozen Beauty (Journey #15314)
A Friendship Force Journey offers an opportunity for people from different parts of the world to share their lives with each other in the spirit of friendship. The success of the experience depends on the extent to which participants can build friendships, exercise flexibility, adapt to unforeseen difficulties, and promote understanding.

The following information is needed to help Friendship Force International and Journey Coordinators select ambassadors who are representative of their community or region. In the event the applicant is not able to meet in person with the Journey Coordinator, you will be asked to provide references and other supporting documentation. Detailed information also helps us match ambassadors with host families. Each applicant must complete and sign the Application and Agreement. We appreciate your cooperation. .
**Please note: It is a good idea to familiarize yourself with the questions on this form and to make sure you have all the info you need to fill out the form.There is not an option to save your work and continue later.

Email address *
Lake Baikal in March
1. First Name *
Your answer
2. Last Name *
Your answer
3. Street Address *
Your answer
4. City *
Your answer
5. State *
Your answer
6. Zip Code *
Your answer
7. Telephone *
Please enter your phone number using numbers and spaces only: Ex: x xxx xxx xxxx
Your answer
8. Birthdate *
mm/dd/yyyy
Your answer
9. Gender *
10. Current Occupation *
Your answer
11. Previous Occupation(s) if Retired
Your answer
12.1 Hobbies & Sports *
List and elaborate on hobbies and sports you enjoy and participate in such as: photography, walking, bicycling, baking, sewing, gardening, golf, skiing, stamp collecting, painting, volunteering, etc. The more you list, the better the match. If None, type in "None."
Your answer
12.2 Interests *
Example: Museums, Wine Tasting, Politics, Civil Discourse, Nature and Science Centers, Architecture, Cathedrals, Mosques, Trains, Education, Travel, Culture, Opera, Theater, College Football, etc. The more you list, the better the match. If None, Type in "None."
Your answer
12.3 Other Organizational Memberships:
Example: Lions Club, Rotary, World Relief, American Humanists, Flying Doctors, Salvation Army, Quilters Guild, Shriners, Masons, etc. The more you list, the better the match. If None, type in "None."
Your answer
13. If traveling with someone else, please list name, relationship to you, and his/her age. Each applicant must submit his/her own application.
Your answer
14. SHARED BEDROOM - Are you willing to share a bedroom with the person you are traveling with, or if you are a single, with a person of the same gender?
Health and Mobility
15. LUGGAGE: Are you able to carry your own luggage up stairs by yourself? *
15.1. ELABORATION - If NO, please elaborate:
Your answer
16. CLIMBING STAIRS - Are you able to climb a flight of stairs several times a day if needed, and within a reasonable amount of time without assistance?   *
16.1 ELABORATION - If NO, please elaborate:
Your answer
17. MAJOR HEALTH ISSUES: In the past three years, have you had any major health issue that would preclude you from carrying out active elements of a Friendship Force Journey?  *
17.1 ELABORATION - If YES, please elaborate:
Your answer
18. ACTIVITY LEVEL: How would you generally describe your own daily, independent activity level over a week's period of time? *
19. Do you smoke?
19.1 ISSUES AND SENSITIVITIES: List any diet, health, medical, or allergy issues or sensitivities that require special consideration? (Check all that apply) *
Required
19.2 ELABORATION. If any health issues, allergies or sensitivities are checked, please specify (e.g., vegetarian, gluten sensitivity, allergy to penicillin, allergy to animals, high blood pressure, diabetes, sleep apnea, sensitivity to cigarette smoke etc.). Ambassadors may be required to provide supporting medical documentation to be accepted on the Journey.
Your answer
20. REFERENCE: Please provide the name of a reference that your Journey Coordinator or FFI may contact to verify your ability to participate fully in this Journey (preferably the last JC you traveled with): *
References should be non-family Friendship Force members with whom you have traveled before
Your answer
20.1 REFERENCE: Telephone number of your reference *
Please enter reference phone number using numbers and spaces only
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20.2 REFERENCE: email of your reference
Your answer
21 EMERGENCY Contact Name *
Please provide the name of someone we could contact in case of emergency
Your answer
21.1 EMERGENCY Contact phone number *
Your answer
21.2 EMERGENCY Contact relation to you *
Your answer
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