International Project Registration

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About the Project Registration Process

Welcome to the Nourish International Project Intern family!

Every student who interns on a Nourish Project is required to register through the Nourish International National Office. During the registration process, you will provide basic information on yourself and submit all information needed for our office to set up your travel insurance policy.

Your registration fee will cover the cost of your trip-based insurance, all training from the National Office leading up to your departure, as well as remote support during your Project. All registration fees are non-refundable.

Please read and fill in all information carefully.

This form and your payment must be submitted by the following deadlines:

Students attending a Project through a semester school:

February 1st (Early Bird Rate) $225
March 1st (Late Registration Rate) $250

Students attending a Project through a quarter school:

March 4th (Early Bird Rate) $225
April 1st (Late Registration Rate) $250

Non-Member students participating on a project:

March 1st (Registration Rate) $400- semester schools
April 1st (Registration Rate) $400- quarter schools

*Non-members are students that have not been active in a chapter of Nourish International for the fall semester as a general member, are not registered through the member resources site by January 31st, and are participating on the International Project as the only part of their involvement in Nourish. If you are a non-member, but would like to become a member, please speak with the Chapter Leader directly and register through our member resource site by January 31st, 2016.

Please email Ellen Moore, Program and Partnerships Coordinator, at ellen@nourish.org with questions.

You must complete every single field to the best of your ability. The National Office is not liable for any information you fail to provide.

Personal Information

First Name *

Last Name *

Birthdate * +

Graduation Year *

Permanent Address *

Address Line 2

City *

State *

Canadian Province (if applicable)

Zip Code *

Country *

Other Country (if not a citizen or permanent resident of the US or Canada): *

Address at School *

Address Line 2

City *

State *

Canadian Province (if applicable)

Zip Code *

Country *

Other Country (if not a citizen of the US or Canada): *

Phone Number *

Email Address (be sure you list an email that we will be able to reach during the summer months and that you check regularly - you will also receive access to training materials through this email) *

College/University You Attend * 🛈

Other College/University You Attend *

Project you are participating on: * 🛈

In 2-5 sentences, please briefly explain why you want to intern on a Nourish International project this summer. *

Are you the Project Leader? *

Yes

No

Are you currently a registered member of Nourish International?
**Nourish members have registered on the Member Resource Site by January 31, 2016 * 🛈

Yes

No

How long have you been a member of your Nourish Chapter? *

Please select your role within the Chapter * 🛈

Other Role: *

Do you have a current passport? **Please note all U.S. passports must be valid for six months following the return trip date. According to the U.S. Department of State, if your passport will expire less than six months after you return from your time abroad, you may not be permitted to board the plane. *

Yes

No

Please select the date your passport expires * +

Please initial to certify you will initiate the process of getting a passport immediately. It can take 4-6 weeks to get a passport after submitting the necessary forms and photo. *

Are you a U.S. Citizen? *

Yes

No

Country of citizenship:

Nourish International prioritizes the safety of each Project Intern and requires additional information from students who will be traveling with Nourish but are not citizens of the United States. This is to ensure your safety and preparedness for any unexpected (and rare) circumstances that could arise while you are in the Project country.

The travel insurance offers the same coverage for both international and United States citizens. This form is to ensure that in the event of an emergency evacuation for political reasons, natural disaster, or other crisis situation, we have accurate visa and travel information on all students regardless of nationality.

Please fill out the following basic information. You will need your F-1 Student Visa (for students studying in the US) to complete this section.

F-1 Student Visa Expiration Date (This question is required if you have an F-1 student visa)

Please answer the following questions in as much detail as possible.

The next four questions pertain to your home country’s consulate or embassy that is located in the country where you’re completing the Nourish Project.

*Please note: If your home country does not have a consulate or embassy in the Project country, please describe the procedure for citizens of your country in the event of an emergency in the Project country (each country will have a contingency plan for their citizens that you should research and explain here.)

Name of Home Country Consulate or Embassy *

Website of Home Consulate or Embassy *

Local Phone Number of Home Consulate or Embassy *

Address of Home Consulate or Embassy *

Have you verified that you have all documentation that is required for travel outside of the US while on an F-1 visa or Green Card by the US, your home country and the Project country? *

Yes

No

Have you verified that you have all documentation that is required for travel outside of Canada (while on an international student visa, if applicable) by Canada, your home country and the Project country? *

Yes

No

If you have not verified this information, when do you plan to do so and what is your plan to get all the information you need? *

Based on your research of your home country's and Project country’s requirements, what services can your home country provide to you in the event of an emergency or evacuation from the Project country? *

Please describe how and when you will document and share this information with the Project Leader and other interns on your team so that you are prepared in the event of an emergency. *

Emergency Contact Information

First Name *

Last Name *

Email Address (Emergency Contact #1) *

Phone Number *

Relationship to Participant *

First Name *

Last Name *

Email Address (Emergency Contact #2) *

Phone Number *

Relationship to Participant *

Waiver, Code of Conduct and Intern Agreement

Please read the following Nourish waiver and select the box marked I agree.
By selecting I agree, you are legally signing this waiver.

As a condition precedent to participating in any Nourish International program (the “Program”), each prospective participant must execute and remit to Nourish International an executed copy of this waiver and release (this “Release”).

In consideration for receiving permission from Nourish International to participate in the Program, I hereby irrevocably and unconditionally release and forever discharge, waive any right I may have against, covenant not to sue, and agree to indemnify, defend and hold harmless Nourish International and each of its representatives, officers, agents, directors, interns, contractors, employees, and assigns (the “Releasees”) from and against (as applicable) any and all claims, liabilities, demands, charges, defenses, debts, actions or causes of action, damages, sums, obligations, injuries (including death), loss of services, pain and suffering, compensation, attorneys’ fees, costs and expenses of suit, and all other liabilities whatsoever (collectively, the “Claims”), which I had, now have, or may have, whether at law, in equity, or both, whether known or unknown, suspected or unsuspected, whether in existence or arising hereafter, out of or related to any matter, cause, or event, under any theory, claim, or charge arising under any international, federal, state, local or common law, that arises from or is related to my participation in the Program, my travel in connection with the Program, or the premises owned or leased by Releasees, including, but not limited to, Claims resulting from the sole, joint, or concurrent negligence, statutory fault, or strict liability of any of the Releasees. I expressly intend and agree that this Release shall bind myself, my executors, heirs, parents, administrators, assigns, designees, and anyone claiming through, by, or under me.

I am fully aware that there are inherent risks to myself and others associated with my participation in the Program. Notwithstanding such risks, I choose voluntarily to participate in the Program with full knowledge that the Program or any part thereof may be hazardous to me and to my property. I acknowledge that I may be required to participate in physically strenuous activities during the Program, and I am not aware of any medical reason why I should not participate in the Program. I agree that I have carefully identified, reviewed, and considered the risks of travel to my destination and participation in the Program, including by reading the most recent U.S. State Department, Centers for Disease Control, and World Health Organization Travel Warnings. Further, I understand that conditions in my destination may change rapidly and agree to stay informed of current events on a frequent basis by obtaining updated security and health information from the nearest U.S. Embassy or Consulate and U.S. State Department, Centers for Disease Control, and World Health Organization websites. I choose to participate in the Program at my sole risk.

I understand that the Releasees may not maintain any insurance policy covering any circumstance that may arise from my participation in the Program. As such, I am aware that I should maintain adequate personal insurance coverage. I recognize that prior to traveling in connection with the Program, I am required to secure travel insurance through Nourish International, and I agree to obtain such insurance prior to my participation in the Program. I warrant that I carry my own health insurance, which is appropriate for travel.

I hereby authorize Nourish International to disclose to any person purporting to be my parent any and all information regarding my participation in the Program and release Nourish International from any liability which may arise therefrom.

By signing this Release, I agree and represent that I have read, understood, and voluntarily agree to each of the terms and conditions set forth in this Release. I sign this Release voluntarily as my own free act and deed. None of the Releasees have made, and I have not relied upon, any representations, warranties, assurances, guarantees, statements, or inducements with respect to the Program. I understand that I can choose not to sign this Release and will avoid its terms and conditions by choosing not to participate in the Program. I execute this Release in exchange for full, adequate, and complete consideration, the receipt and sufficiency of which I acknowledge; and I intend to be bound by its terms, at all times.

*

I agree

Please read the following Nourish Code of Conduct and select the box marked I agree.
By selecting I agree, you are legally signing this Code of Conduct.

Code of Conduct

The Nourish International Project Team Member Code of Conduct has been created to account for several of the inherent risks and moral concerns involved in international development, as well as to outline the expected behavior of all participating in a Nourish project. As a representative of Nourish abroad, the team member must accept and abide by all Nourish’s core principles and rules.

By signing this document, you thereby affirm your understanding of and agree to abide by the following requirements:

Conduct

The following information details the basic guidelines for behavior for those traveling as a Nourish representative. Failure to abide by these guidelines is unacceptable, and will result in either a written warning or the termination of the student from the project. While the following list comprises a set of guidelines, it is not to be considered all-inclusive of the conduct expected of Nourish team members.

Treat your fellow team members and project leader with respect
Report any issues or concerns to the project leader. If you are uncomfortable doing so, feel free to contact the National Office at chapters@nourish.org
Adhere to all safety recommendations made by Nourish International and the Partner organization

Prohibited Behavior

All Nourish project participants are expected to avoid:

Violation of any and all Nourish International rules and principles, or acting in a way contradictory to the spirit of those principles
Violating any laws of the United States or the host country
Unexcused absences and/or excessive tardiness from work
Endangering the safety or life of yourself or others, either intentionally or through negligent action
Importing/Exporting items between the project country and the United States, which are considered illegal in either country.
Unauthorized use or theft of property belonging to Nourish International or partner organizations
Professional dishonesty: falsification of research, work records, accounting, applications, plagiarism, or forgery
Violence, defined as causing or threatening to cause harm to others
Vandalism or intentional damaging of property of other students, the host community, residential units, or project facilities
Possession or use of weapons including but not limited to: firearms, fireworks, or other explosives
Possession, use, or transactions involving any drugs considered illegal in the United States or the host country.
Harassment or abuse of other project team members, project partners, or members of the host community
Disorderly conduct, or behavior otherwise considered obscene
Dressing in a way considered inappropriate within the host country

Sanctions

The following violations may result in immediate termination of participation for the offender.

Violation of any local or international laws
Endangering the safety or life of yourself or others, either intentionally or through negligent action

The project leader has authority to ask a project participant to leave the project site if they feel a participant’s actions warrant it. For all other violations, the 1^st offense will result in a verbal warning, and the 2^nd offense will result in a project participant being asked to exit the project site.

*

I agree

Project Intern Agreement

All Project Interns are required to read through and initial the following agreement. This is to ensure that all Interns are aware of their responsibilities prior to, during, and after the Project.

The Project Intern agrees to do the following:

1.) Uphold the Code of Conduct (above)
2.) Work to his/her best ability on the Project
3.) Respect the partner organization and the community you are working with
4.) Actively participate in weekly team meetings and complete all team trainings prior to departure
5.) Respect the Project Leader, Project team, and host country
6.) Communicate any personal or Project-related concerns to the Project Leader
7.) Take personal responsibility for his/her safety
8.) Support the Project Leader and the rest of the team by completing all required documentation and evaluations prior to departure, during the Project, and upon return *

Project Leader Agreement

All Project Leaders are required to read through and initial the following agreement. This is to ensure that all leaders are aware of their responsibilities prior to, during, and after the Project.

The Project Leader agrees to do the following:

Keep in constant communication with the partner organization prior to departure to ensure all details are in place
Communicate with the National Office in conjunction with the IP Director prior to departure, during the Project, and upon return from the Project.
Act as the intermediary between the Chapter, National Office, Project team, and partner
Complete all required documentation pre departure with the partner and the National office
Coordinate all travel and Project logistics
Ensure team is properly trained and prepared for the Project
Make sure that all team members are immunized and have proper medication before leaving the United States
Take note of any dietary restrictions of team and communicate them to the partner
Be the primary contact for the Partner organization on the ground
Maintain team cohesiveness throughout the Project
Schedule weekly team meetings while on the Project so the team can discuss the work for the week and any questions, comments or concerns

Make sure everyone on the Project team (including the Project Leader himself) upholds the Code of Conduct. (Please read, see above)
Know where all team members are, who they are with, when they will return, and how to contact them, and know who to call if they cannot get in contact with a team member while on the Project
Complete all required follow-up (skills assessments, project evaluation, project report, final blog post, photos)

*

Travel Insurance and Training Details

Travel Insurance

By completing this registration form and submitting payment, you will receive a travel insurance policy with TravelEx. Your travel insurance will be processed at least two weeks before your departure. Confirmation of coverage will be emailed to you (at the email address you provided, above) with a policy certificate a minimunm of 10 days before departure.

Please see this brochure for full details on coverage through TravelEx.

Pre-Departure Training and Remote Support

Your registration fee also covers the cost of pre-departure training and remote support during your internship.

Training materials will be provided through the email address given above and will be used in conjunction with weekly training meetings leading up to departure. Interns will be able to access and refer to all training materials while abroad through a mobile application. All Project Interns are required to complete pre-departure training to ensure adequate preparation for living and working abroad in the partner community.

The Nourish International National Office (NINO) also provides remote support to interns and partners throughout the Project. Before departure, we will provide all contact information and communications instructions, which will also be sent to your emergency contacts, listed above.

Payment

Member Registration: Please select the appropriate payment option below.

Registrations purchased after February 1st (or March 4th for Quarter Schools) are subject to the Late Registration Rate of $250. The Early Bird registration rate for semester schools has passed. *

(Early Bird Rate- March 4th (quarter)) Nourish Member Early Bird Registration ($225.00)

(By March 1st (sem) / April 1st (quarter)) Nourish Member Late Registration ($250.00)

Non-Member Registration:

Please note registration for semester schools is due by March 1st and registration for quarter schools is due by April 1st. *

Non-Member Registration ($400.00)

Once you have submitted your registration form, make sure that it is complete by paying the applicable fee.

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