VENCEREMOS BRIGADE APPLICATION 46th Contingent Travel Challenge

May 25, 2015 by

VENCEREMOS BRIGADE APPLICATION 46th Contingent Travel Challenge

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Venceremos Brigade vbrigade@gmail.com

Ansonia Station www.venceremosbrigade.net

PO Box 230527

New York, NY 10023

APPLY EARLY, SAVE MONEY:

All applications postmarked by February 1st, 2015 will receive a $100 discount off the final payment).

The Venceremos Brigade (VB) is a political education project that, since 1969, has directed its efforts toward developing solidarity with the Cuban Revolution. Despite the U.S. blockade against Cuba, the VB has sent more than 9,000 people from across the U.S., striving to send highly diverse contingents. The VB works to raise consciousness around issues related to Cuba such as democracy, social justice and the role of U.S. imperialism, while working within the larger U.S. Cuba solidarity movement and striving to strengthen its unity and broaden its influence. The VB considers travel to Cuba to be our right and has never requested a license from the U.S. government.

The 46th Contingent of the Venceremos Brigade is an education project hosted by the Cuban Institute for Friendship with the Peoples (ICAP). It will be a Travel Challenge, following the success of 11 previous Travel Challenges spearheaded by the Venceremos Brigade and IFCO Pastors for Peace.

HOW TO APPLY:

  1. Read and complete entire application very carefully (fill out separate application for each family member)
  2. Mail application to the PO Box listed at the top of this page and purchase delivery confirmation (tracking number).
  3. Submit your name, email, phone number and tracking number to VBRIGADE@GMAIL.COM
  4. If you don’t hear from someone in 10 days please send a follow up email.

A complete application MUST include the following. If any part of the application is missing, your application will not be accepted. Please PRINT clearly or TYPE.

The initialed and signed originals of this application indicating that you have read, understand, and accept the conditions

ONE ADDITIONAL COPY of the completed application.

A Non-refundable application fee of $100, made payable to the VB Education Fund by check or money order.

Two (2) recent photos attached where indicated on the application form (black and white or color, passport size and quality).

NOTE: Total Cost (includes application fee)

2 week option from East coast $1,700 or $1,500 from West coast.

1 week option from East coast $1,200 or $1,000 from West coast.

All applications postmarked by February 1st, 2015 will receive a $100 discount off the final payment.

PLEASE KEEP THE FIRST PAGE FOR YOUR OWN RECORDS VENCEREMOS BRIGADE APPLICATION 46th Contingent Travel Challenge

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Staple your photo here

Which travel option are you most interested in:

 Traditional 2 week option (tentative dates July 19th – Aug 3rd, 2014)

 1 week option -which may include youth/children under the age

of 15 years with an accompanying adult.

(tentative dates July 26th – Aug 3rd, 2014)

 Check this box only if you would like to be considered for the

2 week option should the one week option NOT be available.

Basic Applicant Information:

Legal Name (LAST NAME, FIRST NAME):

As it appears on your passport

Please indicate by circling your preferred method(s) of communication:

Cell Phone #: Home/Work #:

Email: Birth Date Age:

Address:

Street Address City State Zip

Occupation:

Passport Number: Expiration Date:

Race/Ethnicity: Country of Birth:

Are you traveling with another applicant? YES NO If yes, what is their name and what is their relationship

to you:

Gender Identity: T-shirt size:

Are you: Vegetarian Vegan Other Have special dietary needs?

Emergency Contact Person # 1:

Name Phone # Relationship to you

Emergency Contact Person # 2:

Name Phone # Relationship to you

Please note the following:

  1. For your safety and health, a medical form will be sent to you after we receive your application and must also be completed and returned.
  2. After acceptance, participants under 18 will receive a parental consent form permitting them to travel with the Brigade. This form must be signed by all of their parents/legal guardians and notarized.
  3. If an applicant is traveling with children and/or a partner each individual must complete an application and medical form. For children the application can be completed by the parent/legal guardian on his or her behalf. If questions #13-#18 are not applicable due to the child’s age you can write “N/A” as an answer.

VENCEREMOS BRIGADE APPLICATION 46th Contingent Travel Challenge

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Please read the following information carefully, and initial on the line before each point to indicate your understanding and agreement. If you have any questions about any of these points, please ask a Brigade organizer.

_____1. The tentative cost of the trip including the $100 nonrefundable application fee is: $1,700.00 for two (2) weeks or $1,200.00 for one (1) week for participants from the East Coast (East of the Mississippi River, including Chicago) OR $1,500.00 for two (2) weeks or $1,000 for one (1) week for participants from the West Coast (West of the Mississippi River), as you will be responsible for getting yourself to either the bus departing from NYC or to Buffalo, NY where our bus will pick you up. All applications postmarked before February 1st, 2015 will receive a $100 discount (to be applied to the last payment). Cost includes transportation (bus from/to NYC), roundtrip air from Toronto to Cuba, food and lodging while in Cuba. It does not include: passport costs, items of a personal nature, or costs you may incur during your travel (food at airports, etc). Partial scholarships will be available on the basis of local or national fundraising. If money is available, scholarships will be awarded with priority given to those with financial need, people of color, commitment to social justice and Cuba solidarity. A separate application for scholarships is required (see questions #14- #16). All participants are required to comply with the payment schedule and policies of the Brigade. The payment schedule is as follows:

 $100 Non-refundable Application Fee at time of application (application deadline is May 1st, 2015)

 $900 due no later than May 1st, 2015.

 Final balance due no later than June 1st 2015. Partial Scholarships may be available and, if awarded, are applied to the final balance.

_____2. Applicants must be United States citizens. Participants must possess a valid U.S. passport by May 1st 2015. Since the process of getting a passport may take up to eight weeks, you should APPLY NOW TO AVOID DELAYS. Current passports must be valid for at least 3 months after the trip.

_____3. A medical form is required to be completed and received by June 1st, 2015. The VB will provide the medical form after you have been accepted to join the brigade. Please discuss with an organizer of the VB any medical condition you have that might affect your participation. It is important to list any medications you are taking (you should check with your doctor whether the medications can be kept in hot temperatures). The trip is rigorous and we do not want to burden the Cuban health system any more than necessary. If you become ill or injured during the trip, you are responsible for all expenses, if any, that may result.

_____4. A personal interview will take place after your application has been received. This may be an individual or a group interview. All applicants must be interviewed. The references listed in your application may be contacted.

_____5. Prior to departure a series of sessions will be facilitated in preparation for a positive experience on the Brigade. Your participation in these prep-sessions is mandatory for all people traveling on the Brigade. Depending on your location they will be provided in person, phone and/or via internet. Efforts will be made to make scheduling as convenient as possible for participants.

_____6. While in Cuba you are required to obey all Cuban laws and to discourage and/or report any unlawful activities on the part of any Brigadista. Breaking the law in Cuba, or helping others to break the law, may result in being sent home from Cuba at your own expense. For instance, all drug use, including marijuana, is illegal in Cuba.

_____7. The Venceremos Brigade experience in Cuba is a GROUP experience, with an organized program of work, political and cultural activities, and travel. All Brigadistas are expected to FULLY participate in the program and no individual arrangements will be accommodated. Because this is a travel challenge, all members of the Brigade must travel to and from Cuba together. We are not tourists and we stay in work camps in Cuba; our final program is dependent on ICAP and other Cuban institutions. VENCEREMOS BRIGADE APPLICATION 46th Contingent Travel Challenge

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_____8. Although the Brigade is committed to providing as many U.S. people as possible with this unique opportunity to experience Cuba for themselves, the Brigade may, at any time, limit or deny any person the right to participate. This may include rejecting an applicant prior to leaving and/or sending a participant home because his/her health, behavior or participation has a negative effect on that person or other participants in the Contingent. No refunds will be granted if a participant withdraws or is eliminated after flight arrangements have been secured, or during his/her visit to Cuba.

_____9. Signing below will confirm your understanding that the Venceremos Brigade neither seeks nor accepts a license from the U.S. Government to travel to Cuba and that you understand the limitations of the Brigade’s legal liability related to this trip. This trip will explicitly challenge the United States restrictions on travel to Cuba, including press releases and conferences and acknowledging to government officials that we are traveling to and from Cuba. The Venceremos Brigade accepts no responsibility for losses or expenses incurred while traveling, or during any event related to the trip. Participants under 18 must have the waiver signed by their parents and/or legal guardians, and they must also sign this document.

_____10. The Venceremos Brigade does not support, encourage or condone any form of online fundraising that includes the use of the Venceremos Brigade’s name or the naming of travel to Cuba. Should online fundraising such as PayPal, GoFundMe, or other online transactions be reported by the site to OFAC (Office of Foreign Assets Control) it will lead to the immediate withdrawal of your application for this contingent. Refunds (with the exception of the application fee) will only be issued if application withdrawal is before tickets have been finalized.

By signing below, you confirm that you have read this document and that you agree to the rules and the principles stated in it.

Signature: Date:

Print Name:

If under 18, parents or legal guardians’ signatures:

Signature: Relationship:

Print Name: Date:

Signature: Relationship:

Print Name: Date: VENCEREMOS BRIGADE APPLICATION 46th Contingent Travel Challenge

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Please complete all questions and use additional paper if more space is needed to provide complete answers.

  1. Number of children Names & Ages
  2. If you are a student, indicate school and major
  3. Have you ever been on the Venceremos Brigade before? YES NO

If yes, which contingent(s): and/or what year(s):

  1. How did you hear about this year’s Venceremos Brigade? Please be specific.

 Past Brigadista. Who? What year on VB? Contact info (email or phone)

 Friend. Who?

Contact info (email or phone)

 Flyer or ad or Web site. Where

 Brigade Event. When & where?

 Your organization. Which?

 Other. Please be specific

  1. If you have traveled to Cuba before, please list details of your other visits below:

Date Sponsor/Route utilized Purpose of Trip

a)__________________________________________________________________________________

b)__________________________________________________________________________________

c)__________________________________________________________________________________

  1. What other nations have you visited, when and why?

Date What country Purpose of trip

a)__________________________________________________________________________________

b)__________________________________________________________________________________

c)__________________________________________________________________________________

  1. Give a chronology of the social change/community/political/solidarity work you are currently, or have been involved in:

Group/Activity Date Your role

a)___________________________________________________________________________________

b)___________________________________________________________________________________

c)___________________________________________________________________________________

  1. Please give the names of THREE references from the activities above. If you have not been active, please list three non-family references who can comment on your character.

Name Position or relation to you Phone # (required)

a)____________________________________________________________________________________

b)____________________________________________________________________________________ VENCEREMOS BRIGADE APPLICATION 46th Contingent Travel Challenge

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c)____________________________________________________________________________________

  1. If you are now employed, give a chronology of your work history, starting with your current job:

Occupation/Profession Date Work Place

a)___________________________________________________________________________________

b)___________________________________________________________________________________

c)___________________________________________________________________________________

  1. Have you ever been convicted of a crime (including driving under the influence) in the U.S. or Canada?

YES NO If yes, when and for what?

Have you ever been arrested on any charge in Canada?

YES NO If yes, when and for what?

Are you: On parole On probation Awaiting Trial Under subpoena

Have you ever been asked or ordered by Canadian authorities to leave Canada?

If yes, please explain:

  1. Have you ever been in the military? If yes, please provide service information

Dates (start & end) Service & where stationed Rank & Dues (MOS)

  1. Have you ever been otherwise employed or paid for service by the U.S. Government or any police force? Please provide details:

Date (start & end) Employer & where employed Position & duties

  1. Do you have any physical limitations or conditions or chronic illness that could affect your full participation in all aspects of the Venceremos Brigade contingent, or could possibly require medical attention while in Cuba?

YES NO If yes, please explain:

  1. Depending on funds made available through group fund-raising and donations, partial scholarships of up to $500 may be available, based on need and an application.
  2. a) Are you requesting a scholarship application? YES NO
  3. b) The max you can request in scholarship is $500. How much scholarship are you requesting? $
  4. Please tell us why you want to travel to Cuba with the VB. VENCEREMOS BRIGADE APPLICATION 46th Contingent Travel Challenge

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  1. Explain how you can help forward the mission and activities of the Brigade upon your return. Note any special skills or resources that you can contribute.
  2. Do you have any special interests that you would be interested in exploring on the trip? Please note that we cannot guarantee that anyone’s special interest will be addressed in the trip’s program.
  3. Do you have any special skills that might be useful on the trip (i.e., medical, construction, workshop facilitation, etc.)?
  4. If there is something additional you would like us to know about you, please tell us here:

Signed: Date:

END OF APPLICATION

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