Request More Information About GLA Group Travel

First Name

Last Name

Email

Phone

What is the best time to reach you? Morning (8-11am) Afternoon (12-4pm) Evening (5-8pm) I'll schedule a call or reach out when I'm ready I prefer to be reached by text message

Text Messages Opt In Yes

Are you a student participant or adult/group leader? Student Group Leader

What is your primary role with the school/organization?

School/Organization Name

School/Organization Address

School/Organization City

School/Organization State

School/Organization Country

School/Organization Zip Code

Has your school/org traveled internationally with students before? Yes No

Where did you travel?

Region of Interest #1 Africa Asia & the Pacific Caribbean Central America Europe South America United States

Region of Interest #2 Africa Asia & the Pacific Caribbean Central America Europe South America United States

Country of Interest #1 Bali Belize Costa Rica Dominican Republic Fiji Galapagos Ghana Greece Guatemala Peru South Africa Spain Sumatra Tanzania Thailand United States

Country of Interest #2 Bali Belize Costa Rica Dominican Republic Fiji Galapagos Ghana Greece Guatemala Peru South Africa Spain Sumatra Tanzania Thailand United States

Program Theme of Interest #1 Animal & Wildlife Conservation Community Development Environmental Stewardship Language Immersion Leadership & Exploration Medicine & Public Health Sciences & STEM Sports Leadership Youth & Education

Program Theme of Interest #2 Animal & Wildlife Conservation Community Development Environmental Stewardship Language Immersion Leadership & Exploration Medicine & Public Health Sciences & STEM Sports Leadership Youth & Education

Desired Program Length (# of days)

Preferred Program Date(s)

Approximate Number of Student Participants (minimum 12)

Grade Levels of Student Participants (select all that apply) 6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeUniversity & Beyond

Approximate Number of Chaperones (GLA includes 1 free per 10 tuition-paying participants)

Approximate Budget Per Student (not including flight)

Will you need support booking flights? YesNoMaybe

How will student tuition be funded? Individual Families School/Organization Other

Other funding details

Does your school/organization have a service requirement? Yes No

Service requirement details

Please share 2 or 3 key learning objectives you have for this experience.

Any additional questions or comments?

Comments

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