Puerto Rico Application

Join Give Back Beyond Cincinnati as we travel to Puerto Rico to provide disaster relief through Fuller Center. This trip is scheduled for June 28 - July 5, 2020.

During the trip, we’ll provide disaster relief and rebuild neighborhoods devastated by Hurricane Maria and recent earthquakes. Hurricane Maria’s ferocious, 155-mph winds plowed through the island of Puerto Rico, leaving a trail of destruction in its wake. It is the worst natural disaster on record in Puerto Rico. The island was without power for months.

During the trip, we’ll be working on rebuilding, construction, painting and cleaning the island. The team will be spending 5 days doing volunteer work and then spend the evenings relaxing, socializing and immersing ourselves in local culture.

The cost of the trip is $970, plus flight. Included will be*:

1. Transportation once in Puerto Rico
2. Accommodations (hostel/bunk beds)
3. All Meals

*Details are subject to change

A deposit of $200 is due by April 26th and is non-refundable. The Trip Lead(s) will contact you regarding your application and deposit close to the date. If you are unable to make this date and do not make alternative plans with the Trip Lead, you will be dropped from the trip.

Please note:The partnering organization may only accommodate a group size of up to 20 people. If the maximum number of participants has been met those living in the Greater Cincinnati area will have top priority. If you live outside of the Greater Cincinnati area we ask that you only fill out an application if you have previously been on a trip with GBBC or have been actively involved with Give Back Cincinnati.

By signing up, you are committing to your ability to fund the full amount of the trip and have time off work. Also, that you will be available to help volunteer for group fundraising opportunities such as Taste of Cincinnati on May 23-25, 2020.

As GBBC is a non-profit/volunteer run organization, we encourage everyone to participate in the trip planning and preparation to make it the most successful one to date! By filling out this application, you acknowledge that you are:

1. Interested and available on the dates listed above
2. Able to pay the cost of the trip
3. Physically able to handle hard labor and work every day
4. Willing and able to take on an active role in planning and fundraising for the trip
5. Participate in group fundraising
6. Be FLEXIBLE! Details could change as we gather additional information or as the needs of the partnering organization changes
7. ……And have a great time on one of the most enjoyable weeks you will experience this year!
4. Have you read and agree to the aforementioned stipulations?*
   • Yes
   • No
5. Are you 21 years of age or older?*
   • Yes
   • No
6. Name*
   First Last
7. Employer
8. Address*
   Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe
9. Email*
10. Phone*
11. Do you have time off approved (from work, school, etc.)?*
    • Yes
    • No
    • Not yet, but I will
12. T-shirt size*
    • S
    • M
    • L
    • XL
    • XXL
13. Are you requesting to be with friends on a team or lodging? (NOTE: Roommate preferences are not guaranteed, but we will make every effort to accommodate your request.)
    First Last
14. Do you have any food allergies or restrictions we should be aware of?
15. Are you taking any medications that we should be aware of?
16. Who is your emergency contact?*
    First Last
17. What is their relationship to you?*
18. What is their phone number?*
19. Are there any specific items to assist with trip planning you would like to make the GBBC - Puerto Rico lead committee aware of?
    
    Examples could include connections to people or businesses you know in Puerto Rico, possibly you work for a company that would like to be a sponsor for this years trip, or you have a specific social evening event you would like to see planned during the week.
    
20. How would you most like to help with trip planning?
    • Logistics (Hotel scheduling, van/bus booking, food)
    • Fundraising
    • Communications
    • Activities
    • Culture Education
21. Have you previously participated in a Give Back Beyond trip?
    • Yes! It was awesome and I'm back for more!
    • No, this is my first (Yay!)
    • No, but I've done a trip/trips with a different organization
22. Have you or someone you know been affected by a natural disaster?
    • Yes
    • No
23. How did you hear about this trip?
    • Newsletter
    • Facebook
    • From a friend
    • From a coworker or employer
    • Email
    • Informational Session
    • Website
    • Other