Service Trip Application

Padma International Service Trip Application

Once you are ready to join a trip, complete the application below. Once we receive your application and $350 deposit (fully refundable for two weeks if you change your mind), the Padma trip staff will review your application and contact you to confirm your spot on a trip, or to ask for more information. All trip members under the age of 18 will need their parent/legal guardian to complete this application with them. Please complete every section and
contact us with any questions.

This Application consists of:

Trip member and parent/guardian biodata
Liability waiver
Code of coduct
Medical information
Payment agreement

Select the trip you are interested in joining. Trip dates might change one or two days depending on student interest and airfare price and will be finalized in December, 2021.

Bali Reef Restoration *

June 4-18 June 14-28

Azores Whale Conservation *

July 1-14 July 14-28

Colombia Village Construction *

June 18- 23 June 28-July 2

Bali Surf Camp *

June 18-23 June 28 - July 2

Nicaragua Service at the Beach *

June 4-18 June 14-28

Nicaragua Marine Conservation Training & Research *

June 18-July 1

Student Information

Please provide the best means for staying in contact throughout the year leading up to your trip. We will send emails and group chat messages on WhatsApp periodically regarding trip preparation and meetings.

* Indicates required field

Name *

First

Last

Gender *

Date of Birth *

High School *

Grade Level *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Upload a picture of yourself *

Max file size: 20MB

In a few sentences each, please answer the following questions:

Why do you want to join this service trip? *

What do you hope to gain from your trip? *

Describe your volunteer and service work experience? *

Have you ever travelled outside the United States, if so, where/when? *

Parent/Guardian Information

In the months prior to your student’s service trip and while we are abroad, Padma staff primarily communicates with parents via WhatsApp messaging app. It is available for free for both Apple and Android phones. Periodic messages will be sent via email and phone regarding trip preparation and planning meetings. It is important to let us know if any of your contact information changes. Please put the contact info for all parents/guardians who want to remain informed about the trip.

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Additional Emergency Contact

Emergency Contact Name *

First

Last

Emergency Contact Email *

Emergency Contact Phone Number *

CODE OF CONDUCT

Our service trips require all members to represent themselves, their group, Padma Organization, and their country in appropriate ways. Doing otherwise will not only degrade reputations but can become dangerous and increase the risk of unfortunate incidents. Padma service trips are not extended parties and raucous behavior is not tolerated. Anytime you travel to new cultures there are particular
cultural mores and obligations regarding conduct. Some of these are common sense and others are unique to particular locations. The below list is designed to help trip members avoid potential problems and conflicts from arising during our trip, and to support constructive and positive group cohesion. All participants are required to abide by these guidelines for the duration of the trip. Failure to abide by this code of conduct can result in loss of activity privileges, fines, and expulsion from the trip at the student's/parent's expense.

Do not engage in any illegal activities during your trip. Ask trip leadership or simply consult google before your trip to learn about the laws of the country where you will be travelling. Consult trip leaders during your trip if you have any doubts about the legality or appropriateness of a given act. If you are not clear of the appropriateness of an action, avoid it. If you commit a crime while on a trip, there is no guarantee the Padma leadership staff can or will protect you from prosecution, fine, arrest, or incarceration. (Jails and prisons in the countries we travel to are not fun and the US Embassy can/will help very little if at all, once you are there.). If any trip member does engage in illegal or inappropriate behavior during a trip and posts photographs or writes about, their own or others, such behavior on any social media platform such as but not limited to: Snapchat, Twitter, Instagram, Facebook, WhatsApp, WeChat, email, group texts, etc., the member will be asked to leave the trip and fined $250. This pertains to trip related media posts made both during or after trips.
No illicit drug use is allowed on the trip under any circumstances.
Any prescription medications are to be brought from the US or purchased with the assistance of trip medical staff.
Participants are not to go into the homes of locals unless express permission is granted by trip leaders.
While visiting religious or cultural heritage sites, local customs such as the removal of shoes, and stopping idle conversation are to be observed. Also, be aware that inside some temples, photos are not allowed. Whenever there is a question of appropriate conduct, ask a trip leader for advice.
The location of any evening or nighttime plans are to be known and approved by trip leaders.
All tools and equipment used during project work are to be used as instructed.
Your attendance at all group meetings is required unless previous permission is granted by a trip leader.
Group members must inform trip leaders of any activities that include departing the project site and do not involve all group members, such as hiking in the mountains, ocean swims, village shopping etc.
All trip members including other students, trip leadership and chaperones are to be respected at all times. Fellow students are to be treated with kindness and any inter-personal issues are to be brought to trip leadership.
All trip members must be able to work as much as six hours at a time on any number of activities including: physical labor, fine motor skills, physical and mental dexterity. Students must be able to work independently with minimal direct supervision following initial instruction and guidance on a given task. Activities are performed in a range of temperatures and environments including water, sand, forest, dirt, mud and uneven landscapes. All trip members must be able to perform project activities independently and as productive members of the group.

Failure to follow these guidelines will result in disciplinary actions, including but not limited to: loss of activity privileges, assignment of additional duties such as bathroom cleaning, fines, and possible expulsion from the service trip at the discretion of Padma staff and trip chaperones, and at the expense of the student and their parent/guardian.

By submitting your name below, you authorize and recognize that you have read and understand the above code of conduct, and willingly enter into this agreement with the Padma Organization for the purpose of joining an international service trip to be held in the summer of 2020.

Student Trip Member (Entering your name will serve as your signature) *

First

Last

Date *

Parent/Guardian (Entering your name will also serve as your signature) *

First

Last

Date *

Parent/Guardian (Entering your name will also serve as your signature) *

First

Last

Date *

LIABILITY WAIVER

"I am aware that there are inherent risks and dangers to myself/my child in joining a service trip in south or southeast Asia. I understand that despite any and all efforts to mitigate dangers, a number of known and unknown risks still exist that may lead to the loss or destruction of personal property, and the injury to, or even death of myself/my child. I accept these potentials as unavoidable factors in joining this trip. I fully assume these risks, understanding that Padma Organization cannot be held responsible for any personal loss or disaster that I/my child may experience in connection with participation on this service trip.

I hereby agree to waive and release any and all claims and causes of action for damages or other relief that I may seek from Padma Organization, and against any of their affiliated or member entities, respective officers, directors, employees, agents, attorneys, or representatives, based on my/my child’s participation on a Padma Organization service trip. I acknowledge even if I/my child is a minor that I/they may be regarded as an adult under the laws of countries travelled to. I accept responsibility for my actions under those laws. I accept personal responsibility for my/my child’s actions outside the direction of Padma Organization personnel. I release Padma Organization of any responsibility for any actions in opposition of, or outside the guidance of Padma Organization staff and trip chaperones."

Student Trip Member (Entering your name will serve as your signature) *

First

Last

Date *

Parent/Guardian (Entering your name will also serve as your signature) *

First

Last

Date *

Parent/Guardian (Entering your name will also serve as your signature) *

First

Last

Date *

MEDICAL INFORMATION

Any medical information will be kept confidential and only shared with trip medical staff. If you are uncomfortable sharing medical information on this form we can arrange a phone call with a Padma medical team member. Otherwise, please complete the following questions below: Do you have any chronic health/medical issues? For example: Diabetes, Migraine, Asthma, blood disorders, digestion problems, etc. (If yes, please explain. Use additional space if necessary.) *

Are you currently taking any prescription medications? *

Yes No

If yes, please explain below – name of medication, reason for taking, dosage/frequency and any other information Padma medical staff should know. *

Do you have any allergies or adverse reactions to foods, medications, etc.? *

Yes No

If yes, please explain which specific agent, what kind of reaction you have, etc. Use additional space if necessary. *

Conservation & Humanitarian Service Trips to Indonesia, Azores, and Colombia include a significant amount of time in or near the ocean and other bodies of water. Some activities may require Open Water or Advanced Open Water SCUBA certification.

Please rate your ability to swim (1-10) with a 1 meaning you are barely proficient to swim the length of a swimming pool, and 10 indicating an expert proficiency in all swim strokes and long-time experience on a swim team etc. Please rate your experience in the ocean on a scale of 1 – 10 with a 1 indicating little or no experience swimming in the ocean and a 10 indicating expert levels in ocean related activities such as surfing or scuba diving.

Swim Ability (1-10) *

Experience in the Ocean (1-10) *

Are you SCUBA certified? *

Yes No

If yes, level of certification *

If no, do you plan to be certified by trip start date? *

Please describe in a sentence or two your level of experience in the ocean. *

Include in an email to trips@padmaorganization.com any additional information we should know about you in regards to unique medical or other needs. If there is anything you are uncomfortable writing here or wish to speak directly with a member of the Padma medical staff, feel free to contact us and we will arrange a phone call.

PADMA SERVICE TRIP PAYMENT AGREEMENT

The following document details the processes, requirements, and policies related to service trip tuition payments. If any part of this is not clear, or if you have any questions related to trip payments, please contact us before signing below. We encourage all trip members to apply for a scholarship as most applicants will receive some discount in trip tuition.

$350 Trip Deposit: This payment secures your place on a trip. You are free to change your mind for any reason for two weeks after paying your trip deposit. Once your trip application and deposit are received your placement on a trip is confirmed. Following this, you will receive a copy of your completed application and be contacted by your trip leader.

Trip tuition:

Indonesia Reef Restoration Trip

$3000

Azores Whale Conservation Trip

$3200

Colombia Village Construction Trip

$3000

Trip tuition may be paid all at once, or in three payments. If you choose to split your payments, the due date for each payment is:

March 1, 2022

(at least 1/3rd of trip tuition balance owed)

April 1, 2022

(at least 1/2 of trip tuition balance owed)

May 1, 2022

(entirety of remaining balance)

All payments can be made on our website, by Venmo, Paypal to inf0@padmaorganization.com, or by check, mailed to:
Padma Organization P.O. Box 982996 Park City, UT 84098

Late Fees
There is a $25 late fee applied to each late payment. An additional late fee of $200 is applied if any amount of trip tuition is unpaid after May 1, 2020. In the unlikely event that collections or legal services are required to collect trip payments, late fees, or fines such as those related to inappropriate behavior during or expulsion from a trip, all additional costs related to collecting payment will be charged to the student and their parent/guardian.

If you need to arrange a different payment schedule than is noted above, please contact us before the first tuition payment is due on March 1, 2020.

Cancellation Policy
If you decide to cancel your trip for any reason, or if the trip leadership decides to cancel the trip altogether based on safety issues or project disruption resulting from environmental issues such as natural disasters, or social unrest etc., trip members will receive a 50% refund of all paid trip tuition.

Trip Insurance
You may purchase trip insurance for $350 which provides for a 100% refund of paid trip tuition and trip deposit in the event you choose to cancel your trip for any reason, or if the trip is cancelled due to natural disaster or social unrest etc.

By submitting your name below, you authorize and recognize that you have read and understand the above payment agreement, and willingly enter into this agreement with the Padma Organization for the purpose of joining an international service trip to be held in the summer of 2020.

Student Trip Member (Entering your name will also serve as your signature) *

First

Last

Date *

Parent/Guardian (Entering your name will also serve as your signature) *

First

Last

Date *

Parent/Guardian (Entering your name will also serve as your signature) *

First

Last

Date *

By paying your service trip deposit you reserve your spot on a trip. You have two weeks to change your mind and receive a full refund of your deposit."

Service Trip Deposit

Submit

Padma International Service Trip Application

​Student Information

Parent/Guardian Information

CODE OF CONDUCT

LIABILITY WAIVER

MEDICAL INFORMATION

PADMA SERVICE TRIP PAYMENT AGREEMENT

Student Information