Travel to India in 2022 | Delivering Health and Hope

Travel with Project C.U.R.E to India in 2022

Project C.U.R.E. is heading to India in 2022, to bring health and hope to Sielmat Christian Hospital in Manipur and the surrounding communities. Join us on our medical mission to India! Experience the local culture, take in the views of the Himalayas, visit the Taj Mahal, and learn about the health conditions of the local community while providing healthcare and healthcare education. We accept all medical and non-medical professionals, but are especially looking for Pediatricians, OB-GYNs, Dermatologists, and Dentists.

To join us, please complete the C.U.R.E. Clinics application form below. Once application is approved, we will contact you regarding payment and to finalize travel details.

C.U.R.E. Clinics Participant Application

1International Travel Experience & Expectations

2Personal Information

3Agreement

*Thank you for applying to participate in a Project C.U.R.E. Clinics and College trip. BEFORE STARTING THIS APPLICATION please have your current passport available. As you will not be allowed to start and stop/save this application once you have begun. Your information will not be saved until you submit the fully completed application. This application should only take about 10-15 minutes to complete.
*To successfully submit this form, all fields must be filled out. Please use N/A if the field is not applicable.
Select Trip*
Volunteer Type*
- Medical
- Non-Medical
Professional Skill Set (Please include licenses and certifications)*
Are you a returning Project C.U.R.E. international travel participant?*
- Yes
- No
Please tell us about your international travel experience, if applicable.*
Please list countries and purpose of travel.
Please indicate language skills and proficiency level:*
Each volunteer is expected to function as a team member and adapt to unexpected circumstances. For example: last minute logistic changes, no hot water, no air conditioning, limited electricity, bucket bathing. Are you willing/able to adapt to these types of changes?*
- Yes
- No
Are you currently taking any medications?*
- Yes
- No
If you answered “Yes”, please list medications here*
Are you currently under a doctors care? If so, please explain*
Please list any current medical and/or physical conditions/limitations (ex. High BP, Diabetes)*
Do you require any physical accommodations? If so, please explain*
Do you have any dietary restrictions? If so, please indicate here*

Name Exactly as it appears on Passport*
First Middle Last
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Date of Birth*
MM slash DD slash YYYY
Biological Sex*
Passport Number*
Passport Date of Expiration*
MM slash DD slash YYYY
Nationality*
Place of Birth*
State of Residence*
Emergency Contact Name*
First Last
Relationship*
Emergency contact Telephone number*
Emergency contact email*
Emergency contract address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Which Airport will you be departing from?*
Shirt Size*
Scrubs Size*
How did you learn about C.U.R.E Clinics?*

Agreement*
- I CERTIFY that all statements and information furnished in this Application are true, complete and correct to the best of my knowledge and belief and are made in good faith. I understand that any information furnished on this Application is subject to verification, and I agree to furnish supporting documents or information upon request and/or names, addresses and phone numbers (if known) of officials or other individuals who can substantiate the qualifications described above. I also understand that intentional misstatements or falsification will result in disqualification.
International Flight Arrival Agreement*
- When booking international flights with Project C.U.R.E designated travel agent I understand that my flight must arrive at or before the indicated time on the “Suggested Flight Itinerary” document. I agree to meet the trip leader at the baggage claim of the final destination, unless I am otherwise notified. If my flights are delayed for any reason, I will notify the Trip Leader and Project C.U.R.E. Travel Department as soon as possible. If I fail to arrive in-country at the required time, I will be responsible for any additional transportation and/or accommodation costs my late arrival causes.
Financial Agreement*
- I understand that my participant program fees are a non-refundable donation to Project C.U.R.E. Should I need to cancel my trip, I understand that I may use funds paid as a credit for future C.U.R.E. Clinics and must be used within 12 months of the cancelation date.
Signature:*
First Last
Date*
MM slash DD slash YYYY
Thank you for your interest and for applying. Your application will be reviewed and we will contact you within the next two weeks.
*The information provided in this application will not be shared outside of Project C.U.R.E. Your personal health information will only be used for purposes related to function and safety of Project C.U.R.E Clinic trips.

C.U.R.E. Clinics India Program Costs

Your tax-deductible donation to participate in a Project C.U.R.E. Clinics Trip to India is $2,700. This program cost covers all accommodations, meals, clean water, and transportation once in-country, including internal airfare, buses/cars/taxies, fuel costs, drivers, and tips. Program costs also include the coverage of translators, medications, C.U.R.E. Kits, Kits for Kids, travel and evacuation insurance, Safe Traveler Enrollment Program (STEP) with the State Department, medical license transfer procedures, departure travel packet with Project C.U.R.E. t-shirt, and all associated shipping costs. Additionally, tour guides and small touristic excursions and activities are included. Please note, Manipur is a dry state meaning there is no alcohol sold. Internet access and laundry are provided, but personal souvenirs are not covered in the program cost.

About India

India has only about one-third the land area of the USA, but it is home to more than 1.25 billion people, second only to China, making it one of the most densely populated major countries in the world. Historically known for its trade routes, vast empires and rich culture dating back thousands of years; India is as rich in culture as it is in beauty. Temples in India can be seen far and wide due to Hinduism, Buddhism and other religions originating there. The northeastern state of Manipur has been called the “Jewel of India” because of its surrounding hills, oval-shaped valley and boundless beauty. Its location and geography make this part of India particularly unique. Rugged hills, narrow valleys and fertile farmlands, Manipur is largely an agrarian society. The Meitei ethnic group comprises 60% of the state’s population, but Manipur is also home to scores of indigenous tribal groups with distinct cultures and dialects that separate them from the rest of India. The folklore, natural beauty, dances and indigenous games are only part of what makes Manipur so special.

Donate to C.U.R.E. Clinics Today!

India | November 3-13, 2022

Travel with Project C.U.R.E to India in 2022

C.U.R.E. Clinics Participant Application

C.U.R.E. Clinics India Program Costs

About India

Sign Up to Hear From Us

Footer

Sign Up to Hear from Us