{"id":3100,"date":"2025-11-05T12:08:29","date_gmt":"2025-11-05T17:08:29","guid":{"rendered":"https:\/\/musanastg.topsyde.com\/?page_id=3100"},"modified":"2025-11-05T12:33:27","modified_gmt":"2025-11-05T17:33:27","slug":"apply","status":"publish","type":"page","link":"https:\/\/musanastg.topsyde.com\/uk\/apply\/","title":{"rendered":"Trip Application"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row full_width=&#8221;stretch_row&#8221; wpex_bg_color=&#8221;#ffffff&#8221; el_id=&#8221;trip-application&#8221;][vc_column]<h1 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl\"><span class=\"vcex-heading-inner wpex-inline-block\">TRIP APPLICATION<\/span><\/h1><h2 class=\"vcex-heading vcex-heading-plain vcex-module wpex-heading wpex-text-2xl\"><span class=\"vcex-heading-inner wpex-inline-block\">You Are One Step Closer to Visiting Musana!<\/span><\/h2>[vc_column_text css=&#8221;&#8221;]Please review our trip resources prior to filling out this application to ensure you are willing and able to participate in the mandatory training meetings, meet medical and immunization requirements, and commit to fundraising to cover the cost of your trip. FAQs are also located in the trip resources, and if you have additional questions please reach out to Susie Knight at <a href=\"mailto:susieknight@musana.org\">susieknight@musana.org<\/a>. MANDATORY MEETING DATES are listed at <a href=\"https:\/\/musanastg.topsyde.com\/us\/take-a-trip\/\">https:\/\/musanastg.topsyde.com\/take-a-trip\/<\/a>[\/vc_column_text]<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/uk\/wp-json\/wp\/v2\/pages\/3100' data-formid='5' novalidate> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n                        <div class='gform-body gform_body'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_1\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_1'>Trip you&#039;re applying for<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_1' id='input_5_1' class='large gfield_select'  aria-describedby=\"gfield_description_5_1\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Musana VBS Team Trip' >Musana VBS Team Trip<\/option><option value='Musana Disability Inclusion Empowerment Team Trip' >Musana Disability Inclusion Empowerment Team Trip<\/option><option value='Musana Medical Team Trip' >Musana Medical Team Trip<\/option><option value='Musana Trades Team Trip' >Musana Trades Team Trip<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_5_1'>*Trips in the above menu are currently accepting applications<\/div><\/div><fieldset id=\"field_5_3\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Full legal name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_5_3'>\n                            \n                            <span id='input_5_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_5_3_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_5_3_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.4' id='input_5_3_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_3_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_5_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_5_3_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><div class='gfield_description' id='gfield_description_5_3'>If you have a passport, the name you provide should match what is on your passport.<\/div><\/fieldset><div id=\"field_5_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_4'>Name you prefer to be called (if different from above)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_5_4' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you have a current\/active passport?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_5'>\n\t\t\t<div class='gchoice gchoice_5_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Yes'  id='choice_5_5_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_5_0' id='label_5_5_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='No'  id='choice_5_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_5_1' id='label_5_5_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_5_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='I have submitted my application and it is currently being processed'  id='choice_5_5_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_5_2' id='label_5_5_2' class='gform-field-label gform-field-label--type-inline'>I have submitted my application and it is currently being processed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_6\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_6'>Passport number<\/label><div class='ginput_container ginput_container_number'><input name='input_6' id='input_5_6' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_7'>Passport expiration date (month\/day\/year)<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_5_7' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_8'>Date of Birth (month\/day\/year)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_5_8' type='text' value='' class='large'  aria-describedby=\"gfield_description_5_8\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_5_8'>If you have a passport, the date you provide should match what is on your passport.<\/div><\/div><fieldset id=\"field_5_9\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_5_9_container'>\n                                <span id='input_5_9_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_9' id='input_5_9' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_5_9' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_5_9_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_9_2' id='input_5_9_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_5_9_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_5_10\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_10'>Best phone number to reach you<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_10' id='input_5_10' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_11\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_5_11' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_11_1_container' >\n                                        <input type='text' name='input_11.1' id='input_5_11_1' value=''    aria-required='true'    \/>\n                                        <label for='input_5_11_1' id='input_5_11_1_label' class='gform-field-label gform-field-label--type-sub '>Address Line 1<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_11_2_container' >\n                                        <input type='text' name='input_11.2' id='input_5_11_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_11_2' id='input_5_11_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_11_3_container' >\n                                    <input type='text' name='input_11.3' id='input_5_11_3' value=''    aria-required='true'    \/>\n                                    <label for='input_5_11_3' id='input_5_11_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_5_11_4_container' >\n                                        <input type='text' name='input_11.4' id='input_5_11_4' value=''      aria-required='true'    \/>\n                                        <label for='input_5_11_4' id='input_5_11_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_11_5_container' >\n                                    <input type='text' name='input_11.5' id='input_5_11_5' value=''    aria-required='true'    \/>\n                                    <label for='input_5_11_5' id='input_5_11_5_label' class='gform-field-label gform-field-label--type-sub '>Zip Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_11.6' id='input_5_11_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_5_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you volunteered for Musana before?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_12'>\n\t\t\t<div class='gchoice gchoice_5_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Yes'  id='choice_5_12_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_12_0' id='label_5_12_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='No'  id='choice_5_12_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_12_1' id='label_5_12_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you have a home church?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_13'>\n\t\t\t<div class='gchoice gchoice_5_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Yes'  id='choice_5_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_0' id='label_5_13_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='No'  id='choice_5_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_1' id='label_5_13_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_14'>If yes, what church?<\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_5_14' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you able to commit to fundraising and attending mandatory training meetings to prepare for this trip?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_15'>\n\t\t\t<div class='gchoice gchoice_5_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Yes'  id='choice_5_15_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_5_15\"   \/>\n\t\t\t\t\t<label for='choice_5_15_0' id='label_5_15_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='No'  id='choice_5_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_15_1' id='label_5_15_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_5_15'>Trip all-in cost is $3,500 - Includes flights, on ground transportation, accommodations, and all meals while in Uganda.<\/div><\/fieldset><div id=\"field_5_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_16'>What is your occupation? In addition, do you have talents that could be shared while at Musana?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_5_16' type='text' value='' class='large'  aria-describedby=\"gfield_description_5_16\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_5_16'>Ex. medical practice, hair dresser, chef, teacher, business management, accounting, skills such as sewing and knitting, athletic expertise in a specific sport, etc.<\/div><\/div><div id=\"field_5_17\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_17'>List international travel\/team experiences (if applicable)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_17' id='input_5_17' class='textarea large'  aria-describedby=\"gfield_description_5_17\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_5_17'>Please include year the trip took place, travel location(s), and organization that led the trip.<\/div><\/div><div id=\"field_5_18\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_18'>What are your strengths? (Please share 3 or more)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_18' id='input_5_18' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_19\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_19'>What are 3 circumstances in which you struggle?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_19' id='input_5_19' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_20\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_20'>Why do you want to visit Musana?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_20' id='input_5_20' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_5_22\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >MUSANA TRIP COVENANT<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_5_22'>By checking each of the below boxes you are confirming your understanding and commitment to the following statements. <\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_22'><div class='gchoice gchoice_5_22_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.1' type='checkbox'  value='I acknowledge that I will be in a different culture where some common U.S. behaviors or customs may not apply or even be offensive to the Ugandans, therefore I will take care to be aware of my behavior and how it affects those around me.'  id='choice_5_22_1'   aria-describedby=\"gfield_description_5_22\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_22_1' id='label_5_22_1' class='gform-field-label gform-field-label--type-inline'>I acknowledge that I will be in a different culture where some common U.S. behaviors or customs may not apply or even be offensive to the Ugandans, therefore I will take care to be aware of my behavior and how it affects those around me.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_22_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.2' type='checkbox'  value='I commit to being flexible, patient and pleasant. I will, at all times, exemplify strong morals and positive behavior in order to be a role model and influence to those around me.'  id='choice_5_22_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_22_2' id='label_5_22_2' class='gform-field-label gform-field-label--type-inline'>I commit to being flexible, patient and pleasant. I will, at all times, exemplify strong morals and positive behavior in order to be a role model and influence to those around me.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_22_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.3' type='checkbox'  value='I will follow the guidelines to have all funds submitted to Musana before the time due.'  id='choice_5_22_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_22_3' id='label_5_22_3' class='gform-field-label gform-field-label--type-inline'>I will follow the guidelines to have all funds submitted to Musana before the time due.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_22_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.4' type='checkbox'  value='I acknowledge that I am a guest working at the invitation of my hosts and will behave and respond as a grateful visitor, including eating what I\u2019m offered and participating with community activities as they are presented.'  id='choice_5_22_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_22_4' id='label_5_22_4' class='gform-field-label gform-field-label--type-inline'>I acknowledge that I am a guest working at the invitation of my hosts and will behave and respond as a grateful visitor, including eating what I\u2019m offered and participating with community activities as they are presented.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_22_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.5' type='checkbox'  value='I will remember I have come to learn as well as to assist. I\u2019ll resist the temptation to inform our hosts about \u201chow we do things.\u201d I will be open to learning about other people\u2019s methods &amp; ideas, in all areas of work, leisure and religion.'  id='choice_5_22_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_22_5' id='label_5_22_5' class='gform-field-label gform-field-label--type-inline'>I will remember I have come to learn as well as to assist. I\u2019ll resist the temptation to inform our hosts about \u201chow we do things.\u201d I will be open to learning about other people\u2019s methods &amp; ideas, in all areas of work, leisure and religion.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_22_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.6' type='checkbox'  value='I will develop and maintain a servant attitude toward all nationals, staff, fellow volunteers, team members and other visitors to Musana.'  id='choice_5_22_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_22_6' id='label_5_22_6' class='gform-field-label gform-field-label--type-inline'>I will develop and maintain a servant attitude toward all nationals, staff, fellow volunteers, team members and other visitors to Musana.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_22_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.7' type='checkbox'  value='I commit to respect all Musana staff along with my supervisors and his or her decisions.'  id='choice_5_22_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_22_7' id='label_5_22_7' class='gform-field-label gform-field-label--type-inline'>I commit to respect all Musana staff along with my supervisors and his or her decisions.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_22_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.8' type='checkbox'  value='I will refrain from gossip.'  id='choice_5_22_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_22_8' id='label_5_22_8' class='gform-field-label gform-field-label--type-inline'>I will refrain from gossip.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_22_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.9' type='checkbox'  value='I will refrain from complaining. I know that travel can present numerous unexpected and undesired circumstances, but the rewards of conquering such circumstances are innumerable. Instead of whining and complaining, I&#039;ll be creative and supportive.'  id='choice_5_22_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_22_9' id='label_5_22_9' class='gform-field-label gform-field-label--type-inline'>I will refrain from complaining. I know that travel can present numerous unexpected and undesired circumstances, but the rewards of conquering such circumstances are innumerable. Instead of whining and complaining, I'll be creative and supportive.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_22_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.11' type='checkbox'  value='I commit to being inclusive in my relationships and interact with all members of staff, short-term teams and fellow interns.'  id='choice_5_22_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_22_11' id='label_5_22_11' class='gform-field-label gform-field-label--type-inline'>I commit to being inclusive in my relationships and interact with all members of staff, short-term teams and fellow interns.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_22_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.12' type='checkbox'  value='I will refrain from any activity that can be construed as romantic interest in a national, teammate or other volunteer. I will not pursue any romantic relationship of any kind with anyone during this trip.'  id='choice_5_22_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_22_12' id='label_5_22_12' class='gform-field-label gform-field-label--type-inline'>I will refrain from any activity that can be construed as romantic interest in a national, teammate or other volunteer. I will not pursue any romantic relationship of any kind with anyone during this trip.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_22_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.13' type='checkbox'  value='I will abstain from illegal drugs, tobacco and alcohol abuse, as well as offensive and immodest dress and profanity during this trip.'  id='choice_5_22_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_22_13' id='label_5_22_13' class='gform-field-label gform-field-label--type-inline'>I will abstain from illegal drugs, tobacco and alcohol abuse, as well as offensive and immodest dress and profanity during this trip.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_22_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.14' type='checkbox'  value='I realize that I will be living on campus, in staff housing, potentially with other volunteers, staff and administrators, and sometimes, other guests. I will treat them, and my physical surroundings, with the respect that is deserved.'  id='choice_5_22_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_22_14' id='label_5_22_14' class='gform-field-label gform-field-label--type-inline'>I realize that I will be living on campus, in staff housing, potentially with other volunteers, staff and administrators, and sometimes, other guests. I will treat them, and my physical surroundings, with the respect that is deserved.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_22_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.15' type='checkbox'  value='I agree to comply with an 11pm curfew at all times.'  id='choice_5_22_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_22_15' id='label_5_22_15' class='gform-field-label gform-field-label--type-inline'>I agree to comply with an 11pm curfew at all times.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_22_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.16' type='checkbox'  value='I understand that I am here to serve and that I will be at all places in a timely manner, even if that means I am waiting on others to arrive on time.'  id='choice_5_22_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_22_16' id='label_5_22_16' class='gform-field-label gform-field-label--type-inline'>I understand that I am here to serve and that I will be at all places in a timely manner, even if that means I am waiting on others to arrive on time.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_22_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.17' type='checkbox'  value='I commit to receiving permission first before allowing any visitor to come to Musana\u2019s campus.'  id='choice_5_22_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_22_17' id='label_5_22_17' class='gform-field-label gform-field-label--type-inline'>I commit to receiving permission first before allowing any visitor to come to Musana\u2019s campus.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_22_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.18' type='checkbox'  value='I will remember that I can be sent home, at my own expense, if I do not adhere to this covenant or if Musana\u2019s Directors believe it is in my or Musana\u2019s best interest.'  id='choice_5_22_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_22_18' id='label_5_22_18' class='gform-field-label gform-field-label--type-inline'>I will remember that I can be sent home, at my own expense, if I do not adhere to this covenant or if Musana\u2019s Directors believe it is in my or Musana\u2019s best interest.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_23'>Please type your first and last name below if you agree to abide by the Musana Trip Covenant outlined above.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_5_23' type='text' 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