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Journey to India Application
Journey to India Application
Name
*
First
Last
Email Address
*
Enter Email
Confirm Email
Mobile Phone
*
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
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Aruba
Australia
Austria
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Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
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Burundi
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Cameroon
Canada
Cayman Islands
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Chad
Chile
China
Christmas Island
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Colombia
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Cook Islands
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Denmark
Djibouti
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Dominican Republic
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Eswatini
Ethiopia
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France
French Guiana
French Polynesia
French Southern Territories
Gabon
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Germany
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Gibraltar
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Greenland
Grenada
Guadeloupe
Guam
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Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
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Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
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Italy
Jamaica
Japan
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Korea, Republic of
Kuwait
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Latvia
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Libya
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Luxembourg
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Maldives
Mali
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Mayotte
Mexico
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Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
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Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
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South Sudan
Spain
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Sudan
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Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Türkiye
US Minor Outlying Islands
Uganda
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Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
What is your inspiration for going on this trip?
*
Have you traveled to a low or middle income country before?
Yes
No
Do you understand the context and feel comfortable traveling to a country with limited infrastructure and different cultural sensibilities?
*
Do you have any questions and/or concerns about traveling to India?
*
Do you have any special physical or dietary needs that we need to know about?
*
What do you believe you can contribute to our travel group?
*
Are you interested in bringing a friend, family member, or additional guest(s) who are 15 years or older?
*
Yes
No
Do you understand and agree that you are responsible for making your own travel arrangements to India, and that your deposit is non-refundable and becomes a donation to Just Like My Child Foundation if you cancel your plans? If so, please check below:
*
I agree.
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DONATE
Our Work
▼
Girl Power Project® Goes Global
▼
Uganda
United States
India
Why Girls?
Our History
Our Results
Financials
About Us
▼
Message From Our Founder
Our Supporters
U.S. Team
Board of Directors
Get Involved
▼
Support JLMC
Start a Fundraiser
Join The League
Invite Vivian to Speak
Blog
Contact