Travel Forms
Start planning with these important forms. Links below.
To learn about our outreach program and locations, check out the Countries and Schedules of Trips guide.
To make payments for upcoming events, please click here.
If you would like to learn more about the COM International Medical Outreach Programs, please contact em1036@nova.edu
Location: Kingston and St. Mary, Jamaica
Dates: July 12-20, 2020
Estimated Cost: $1,650.00 (+/- $100) for the entire trip. Cost includes flight, hotel, ground transportation and ~80% of meals. Price is subject to change since flight arrangements have not been finalized. Estimated cost does not include travel insurance (see below). It is recommended that participants bring along $150-$200 to cover miscellaneous cost.
NSU Faculty and NSU Students On-line Application: Medical Outreach Application Instructions and Application link
The homepage with instructions on how to use the application is: https://liverootnova.sharepoint.com/osmedoutreach/Pages/default.aspx
The actual application is found here: https://liverootnova.sharepoint.com/osmedoutreach/Lists/IMOC%20Application%20Form/AllItems.aspx ; students click on New Item to begin application.
Completed application is due by: Monday, Monday, March 30, 2020 If not able to complete electronically, please submit applications to Discipline Coordinators. The coordinators should submit completed applications to Dr. Anderson-Worts or Dr. Luzan Phillpotts.
FULL DEPOSIT MUST ACCOMPANY YOUR APPLICATION
Checks Made Payable to “Women of H.O.P.E.” All participants must complete a mission trip application packet. The Jamaica Ministry of Health has several required forms to be completed prior to the mission. Please complete the forms by the requested deadline, so the paperwork can be processed and submitted in a timely fashion.
No refunds after Friday, May 1, 2020 Please Note: Airline Tickets are non-refundable once they are purchased regardless of the full refund deadline.
PASSPORT IS REQUIRED FOR TRAVEL TO JAMAICA!! If you do not have a passport, please make sure you go to the nearest passport agency and complete the application in a timely manner. IT WILL TAKE 6-8 WEEKS (sometimes longer) to receive a new passport. If you do not have a passport by the travel time allotted, you will not be able to participate in the medical mission.
TRAVEL INSURANCE: All participants must submit proof of Travel Insurance with their applicable. Proof of travel insurance is mandatory in order for you to participate in the mission. At least $2,000,000 medical benefits are recommended. Please note emergency evacuation and reparation must be included. Non-NSU faculty must have at least $1,000,000 travel insurance coverage
If you do not have travel insurance, then you can obtain travel coverage from any travel insurance company. You can use the insurance link listed below.
NSU recommends for Students and Faculty: Health Travel insurance (link is provided) http://www.internationalstudentinsurance.com/schools/nova-southeastern-university.php
Application Forms and Additional Information:
Jamaica Mission Trip Coordinators:
For Additional Information: Please contact Evelyn Martinez or at (954) 262-1897.
Outreach Program Leader: Dr. Cheryl Atherley-Todd
Dates: March 21 - 29, 2020 – Las Terrenas, Samaná, Dom. Rep.
Cost: $1,250.00 - Includes airfare, in-country transportation, lodging, transportation to/from airport, all meals.
Payments: Deposit of $500.00 due on 1/21/2020 with complete application.
The Dominican Republic Outreach Program provides free medical care to the underprivileged people of surrounding areas of Las Terrenas, Dom. Rep. Students, faculty, physicians, dentists, staff and volunteers from the community give their time and talent to provide medical care that would otherwise be unavailable.
Our goal is to provide quality care and build sustainable relationships with community residents. Participants will have the opportunity to practice, teach, perform research, and treat an extremely wide variety of diseases.
Las Terrenas is a town on the northeast coast of the Dominican Republic, located in the province of Samaná. It is known for its scenic landscapes, white sand beaches and clear waters.
Please click complete your application:
NSU Participants
NON-NSU PARTICIPANTS
Completed application and deposit of 500.00 due by: January 21, 2020.