34th US-Cuba Friendshipment Caravan Participant Application, 13th- 27th November 2024

Save & Return

Use an account to return to saved work.

Be sure to save your answers by clicking the SAVE at the bottom of the form. When you're finished, click SUBMIT.

Please be aware that U.S. credit/debit cards cannot be used in Cuba due to the blockade. This also includes also applications such as Zelle, Venmo, and CashApp. Caravanistas are required to bring the money they would like to spend on extra items or experinces in either Euros or Canandian Dollars. This will be futher explained during orientation.

If there is a red star, you are required to provide an answer.

Name (exactly as it appears on your passport) *

Preferred First Name *

Last Name *

Address *

City *

State or Province *

Zip/Postal Code *

Twitter Handle

Cell Phone *

Secondary phone *

Email Address *

Employment (job title, etc.) *

Ethnicity?

Gender

Preferred Gender Pronouns *

Date of Birth xx-xx-xxxx (month/day/year) *

Passport Number *

Passport Expiration Date xx-xx-xxxx (Month/day/Year) *

Please email to friendshipmentcaravan@ifconews.org

-- A copy of your passport page with photo and pp number,

-- Proof of full vaccination against COVID-19 and

-- Signed and notarized release form.

EMERGENCY CONTACT INFORMATION

First Name *

Last Name *

Relationship to You *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

What brought you here? Who or what events said "Come be part of this Friendshipment Caravan!" *

0/100 words

HEALTH INFORMATION

Please give more information about any health issues you have.

List of Daily Medications

Allergies

DIET: Please indicate if you are vegetarian, vegan, or gluten-free. *

SKILLS

Level of spoken Spanish. *

First Aid/Medical Skills: *

If you are part of a faith community or are being sponsored by a particular group, please complete the following section.

Name of Congregation or Sponsoring Group

Contact Person

Street Address

City

State

Zip Code

Phone Number

Email Address

Web Site

Email Address

Phone Number

Please list your Senators and Representative (If you don't know who they are, now is a great time to learn):

Senator: *

Aide responsible for Cuba/Latin America:

Senator: *

Aide responsible for Cuba/Latin America:

Name and District of Representative: *

Aide responsible for Cuba/Latin America:

PLEASE GIVE COMPLETE NAME, ADDRESS, PHONE AND EMAIL OF TWO REFERENCES:

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Reference number two:

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Describe your community, social, religious and political activities. *

PLEASE WRITE A PARAGRAPH OR TWO TO ANSWER THE FOLLOWING QUESTIONS: (If you have been on previous Caravans you need not complete these questions. If you're a first-timer, PLEASE complete!)

What experience do you have working with groups? What skills do you have for facilitating group interaction and cohesion?

How have you been involved in Cuba solidarity work? What motivates your interest in that work?

Have you been to Cuba before? If yes, when and for what purpose?

What was your most stressful experience? What do you think will be the most difficult part of the trip? What strengths can you call upon to deal with the stress of the trip?

Why do you want to go on the Caravan? How will you use this experience to do solidarity work for Cuba when you return to the US?

If the members of the Caravan make a tactical or strategic decision with which you disagree, but with which you do not have a profound moral objection, how will you respond?