Seed Effect 2019 Uganda Trip Team Application
You will need to complete this online application in one sitting, as there is no way to return to the application once you have started it. In order to complete this application, you will want to have the following information handy:

Passport (Exact Name, Number)
Travel Insurance Beneficiary (Name, Address, Phone)
Emergency Contact (Name, Phone, Email)
Someone to notify in case of flight delays or changes (Name, Phone, Email)
Health Insurance Information (Carrier, Policy/Group #, Phone)
Prescription Medications
Contact Info for at least 1 and no more than 2 References (Name, Phone, Email, Relation to you)
Once you have this information, you may complete the application.

Email address *
Email address *
Cancellation Policy: Once you have been selected for this trip, your trip deposit becomes non-refundable. Additionally, in some cases the cost of the airline ticket will be charged to you, if you cancel after airline tickets have been purchased. Do you agree to abide by this cancellation policy? * *
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