South Africa Partners' 10th Annual Educator Tour
South Africa Partners’ 10th Annual Educator Tour Johannesburg, East London & Cape Town July 15 - July 29, 2015 Join Us! My thoughts of South Africa have usually centered on the country’s experience under apartheid and the dismantling of that system. But this trip opened my eyes to the current chapter of the country’s narrative. I learned firsthand about some realities of this very young democracy, its triumphs and its challenges. -Takisha Hanyie, Baylor School, Chattanooga, TN, 2014 Educator Tour Participant (pictured above left teaching a lesson in East London) Visit a variety of schools to learn firsthand about the challenges of education in South Africa Engage in cross-cultural teaching, learning and conversation with education leaders, administrators, teachers and students Participate in a week-long classroom experience at a public school in East London Explore Johannesburg, East London and Cape Town and visit notable historical and cultural sites Tour Cost of $3,000 Includes: 12 Nights Accommodation • 2 Meals Per Day Ground Transportation & Guides • Event Admissions Space is Limited For more information, contact Carol Cashion at 617 443-1072 or [email protected] www.sapartners.org Highlights of 2014 Educator Tour Itinerary Johannesburg - 3 Nights: Visits to Apartheid Museum, Liliesleaf Farm, Kliptown Youth Program, Constitution Hill, Market Theater, African Market; Soweto Tour East London - 6 Nights: Orientation by Education faculty from the University of Fort Hare; Tour of East London Schools; four day residency at A.W. Barnes Primary School; half-day safari at Inkwenkwezi Private Game Reserve Cape Town - 2 Nights: Visits to Robben Island, LEAP School, District Six Museum, Solms-Delta Winery Funding We recognize that funding for the Educator Tour can be a challenge. Some past participants have received support through the Fund for Teachers. Applications for their 2015 grant cycle are now available at http://www.fundforteachers.org. The application deadline is January 29, 2015. Ask your Principal or Headmaster about funding opportunities available through your own school, community or local education foundation. And feel free to ask us for assistance in developing your grant proposal! South Africa Partners 2015 Educator Tour Application We are so excited that you are considering joining us on our tour of South Africa! The cost of the trip is $3000 and includes: Twelve nights accommodation, double occupancy Two meals per day Ground transportation & guides Event admissions Please note that the cost does not include airfare. You will need to complete the following steps in order to secure your space and book your travel for the trip: Step 1: Send in $500 Deposit To secure your trip reservation you will need to send us a $500/ per person non-refundable deposit by March 6, 2015. You will also need to complete the following forms and return them to us: Participant Information Form Release Form Emergency Notification Form Cancellation Policy Form Payment Form Step 2: Flight Arrangements If you choose to work with SA Partners we will send you additional information on the process for securing your flight arrangements. If self-booking, please contact us before you book your flight so that we can ensure you are the same flights as the rest of the group. Step 3: Payment of Final Trip Balance The final trip balance is due by May 29, 2015. SOUTH AFRICA PARTNERS EDUCATOR TOUR 89 South Street, Suite 701 Boston, MA 02111 Tel : (617) 443-1072 Fax : (617) 443-1076 [email protected] 1 I. PARTICIPANT INFORMATION Name: ________________________________________________________________________ Name As It Appears on Your Passport: ______________________________________________ Please ensure that your passport will not expire until 6 months after the trip (January 2016) Please be sure that your passport has 3 completely blank "visa" pages for stamps Address: ______________________________________________________________________ City: _________________________________ State: ___________ Zip Code: _______________ Telephone:________________________________ Cell Phone: ___________________________ Fax: ________________________________ E-Mail: __________________________________ II. BACKGROUND INFORMATION AND MOTIVATIONS Why are you interested in this SA Partners Educator Tour? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ What do you expect to gain from participating? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ How did you hear about this trip? SOUTH AFRICA PARTNERS EDUCATOR TOUR 89 South Street, Suite 701 Boston, MA 02111 Tel : (617) 443-1072 Fax : (617) 443-1076 [email protected] 2 _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ ______________________________________________________________________________ Please provide a short bio to be shared with the other tour participants & visiting schools staff. SOUTH AFRICA PARTNERS EDUCATOR TOUR 89 South Street, Suite 701 Boston, MA 02111 Tel : (617) 443-1072 Fax : (617) 443-1076 [email protected] 3 III. TRAVEL PREFERENCES _______ I am traveling with another participant: _______________________________________. (Participant’s Name.) _______ I would like to share a room with: ___________________________________________. (Participant’s Name.) _______ I will be using SA Partners’ help to book my international airfare. _______ I will not be using SA Partners’ help to book my international airfare. PLEASE NOTE: Overseas travel can be physically demanding. Please assess realistically your health in light of the rigors of the trip. Neither malaria nor any other tropical disease is endemic to the tour sites. As well, western-style foods and bottled water are readily available. However, you will be exposed to changes in diet and water and occasional irregular meal schedules. There will be long days, demanding activities, and extended travel in aircraft and other cramped vehicles. Programmed activities involve significant walking. All sites have modern medical equipment and medical professionals; however the group may be in places where access to such facilities is difficult. Many locations are not handicapped accessible. Note that culture shock, homesickness and intensive interaction with other group members for two weeks can create stresses that can affect your health. With this in mind, please describe any special need or conditions that will need to be taken into consideration. Do you have any special dietary needs or medical conditions we should be aware of? Do you have any other special requirements? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ ____________________________________________________________ SOUTH AFRICA PARTNERS EDUCATOR TOUR 89 South Street, Suite 701 Boston, MA 02111 Tel : (617) 443-1072 Fax : (617) 443-1076 [email protected] 4 IV. EMERGENCY NOTIFICATION IN CASE OF EMERGENCY NOTIFY: 1. Name: _____________________________________________________________________ Relationship: ________________________________________________________________ Address: ___________________________________________________________________ Day Telephone: ___________________________ Night Telephone: ____________________ 2. Name: _____________________________________________________________________ Relationship: ________________________________________________________________ Address: ___________________________________________________________________ Day Telephone: ___________________________ Night Telephone: ____________________ SOUTH AFRICA PARTNERS EDUCATOR TOUR 89 South Street, Suite 701 Boston, MA 02111 Tel : (617) 443-1072 Fax : (617) 443-1076 [email protected] 5 V. CANCELLATION POLICY A SOUTH AFRICA PARTNERS TOUR I understand and accept the following terms of South Africa Partners’ cancellation policy for its July 2015 Educator Tour to South Africa: In the event that I withdraw from the delegation before April 25, 2015, all but $500 of the funds that I paid to SA Partners will be returned to me. If I withdraw after April 25, 2015, SA Partners has the right to retain up to 50% of total fees paid. This will be used to cover the loss incurred by ticket cancellation and other unrecoverable expenses related to the delegation. I declare and represent that no promise, inducement or agreement not expressed above has been made to me. I am at least eighteen years of age, have carefully read the above terms and fully understand them. ________________________________________ (Signature) _________________________________ (Date) _________________________________________________________ (Print Name) VI. RELEASE SOUTH AFRICA PARTNERS EDUCATOR TOUR 89 South Street, Suite 701 Boston, MA 02111 Tel : (617) 443-1072 Fax : (617) 443-1076 [email protected] 6 A SOUTH AFRICA PARTNERS TOUR I, ______________________________________, am participating in the South Africa Partners (SA Partners) Educator Tour to South Africa (the Tour), a round-trip tour between the United States and South Africa, scheduled to take place from July 15th to July 29th, 2015. In consideration of the sponsorship of the Tour by SA Partners, I hereby release and hold harmless SA Partners, its directors, officers, agents, and employees from and against any and all claims, demands, actions and causes of action whatsoever on account of any accident, loss, damage, or injury to myself (including death) or my property suffered or incurred, regardless of cause thereof, in connection with any aspect of the Tour, any Tour-related activity or any transportation or other services provided in connection with the Tour, including but not limited to, transportation between the United States and South Africa, transportation within South Africa, or hotel or other lodging accommodations, or on account of any other loss, damage or injury resulting directly or indirectly from any occurrences or conditions including, but not limited to, Acts of God, defects in vehicles, breakdowns in equipment or machinery, acts of governments or other authorities, wars, hostilities, civil disturbances, strikes, thefts, quarantines, epidemics, or delays or cancellations of, or changes in, Tour schedules. I authorize SA Partners and its directors, officers, agents, and employees to obtain for me any medical care (including hospitalization and emergency surgical procedures) that I may require due to illness or injury during the Tour if I am unable to obtain such medical care for myself. The information on the attached Emergency Notification sheet is correct and complete to the best of my knowledge. I hereby release and hold harmless SA Partners and its directors, officers, agents, and employees from and against any and all claims, demands, actions and causes of action whatsoever on account of any medical services obtained for, or provided to, me during the Tour or the failure to obtain or provide medical services during the Tour. SOUTH AFRICA PARTNERS EDUCATOR TOUR 89 South Street, Suite 701 Boston, MA 02111 Tel : (617) 443-1072 Fax : (617) 443-1076 [email protected] 7 I agree that SA Partners may use information gathered during the Tour and hereby release and consent to the use, publication, and distribution of such information, as SA Partners deems appropriate to further its charitable and educational purposes. Furthermore, I understand that SA Partners may use photos and videotapes of me taken or recorded during the Tour, and hereby release irrevocably all rights of any kind in such photos or videotapes and consent to SA Partners’ perpetual worldwide use of such photos and videotapes, their reproduction and distribution in all media. I agree that SA Partners may reproduce such photos or videotapes in any format they choose and use them for any purpose related to SA Partners’ nonprofit operations (including commercial use in promotional materials, public relations and advertising) as SA Partners may determine, without further compensation to me. I agree that this Release shall be binding upon my heirs, executors, administrators, successors and assigns. ________________________________________ (Signature) _________________________________ (Date) _________________________________________________________ (Print Name) _________________________________________________________ (Address) _________________________________________________________ (City, State, Zip Code) SOUTH AFRICA PARTNERS EDUCATOR TOUR 89 South Street, Suite 701 Boston, MA 02111 Tel : (617) 443-1072 Fax : (617) 443-1076 [email protected] 8 VII. PAYMENT FORM $500 Minimum Deposit Due March 6, 2015. $2500 Balance Due May 29, 2015. Name: _______________________________________________________________________ Billing Address: _________________________________________________________________ City: ____________________________________ State: ___________ Zip Code: ____________ Telephone: ________________________________ Cell Phone: __________________________ Fax: ____________________________ E-Mail: _______________________________________ _______ Enclosed is my check made payable to South Africa Partners in the amount of $ ______. _______ Charge my credit card in the amount of: $ _______. Please note there is 3.5% Surcharge for credit card payment. _______ Visa _______ MasterCard _______ Am Ex Card Number: Expiration Date: ____________________________ 3 Digit Security Code: _____________ Signature: SOUTH AFRICA PARTNERS EDUCATOR TOUR 89 South Street, Suite 701 Boston, MA 02111 Tel : (617) 443-1072 Fax : (617) 443-1076 [email protected] 9
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