Travel Program Application

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Important! You’re registration will not be complete until you submit a non-refundable deposit of $290. This payment can either be sent via check to 4000 Albemarle St NW #401, Washington D.C. USA, 20016 or via PayPal through our donations page with the memo line stating “Iran Trip”.

Basic Background Information

Health Information
Negative answers to the following questions will not necessarily prevent you from being invited to travel with NI. This information will help us in assessing your special needs and allow us to take measures which would reduce the risks of serious health matters during the course of the trip. Providing false information will result in dismissal from the program and NI is not responsible for health issues that may occur during the course of the trip.


Dietary Concerns
(Please note that while there will usually be vegetarian options, vegan options are very difficult. Flexibility is necessary as it may be difficult to accommodate rigid dietary needs in areas where foods are difficult to get and local customs differ.)

Language Skills and Preferences

Please provide two personal references

Experience and Values

Visa Information
The following information is for applying for Visas. Information will only be used for that.

In addition, you will need to fill out the following passenger details:

Don’t forget! You’re registration will not be complete until you submit a non-refundable deposit of $290. This payment can either be sent via check to 4000 Albemarle St NW #401, Washington D.C. USA, 20016 or via PayPal through our donations page with the memo line stating “Iran Trip”.

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