The Great Hostel Give Back About Great Hostel Give Back Program Details Application Testimonials Application HI USA Great Hostel Give Back Group Application Thank you for your interest in HI USA's Great Hostel Give Back!The application must be submitted at least two weeks prior to the first night of the group stay.(Final application deadline: February 15, 2017) Group Contact Person First Name Last Name Email Address Phone Number Position within GroupAdvisorOfficerMember Group Information Group Name and Affliation The name of your group and the name of the larger organization with which your group is affiliated, such as a college or university, national organization, etc. Group Email Address (if applicable) Group Website (if applicable) Group Mailing Address City StatePlease select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Island Northern Mariana Islands Guam American Samoa Palau ZIP Which of the following best describes your group? Community Organization University Group Faith Based Group Informal Group - friends/colleagues Boy or Girl Scout Troop Youth Organization (members younger than 18) High School Group Work Group Other Please State Other GHGB Program Information Hostel LocationPlease select... CA - HI Los Angeles Santa Monica CA - HI Marin Headlands CA - HI Monterey CA - HI Pigeon Point Lighthouse CA - HI Point Montara Lighthouse CA - HI Point Reyes CA - HI Sacramento CA - HI San Diego Downtown CA - HI San Diego Point Loma CA - HI San Francisco, City Center CA - HI San Francisco, Downtown CA - HI San Francisco, Fisherman's Wharf DC - HI Washington, DC IL - HI Chicago, The J. Ira and Nicki Harris Family Hostel MA - HI Boston MD - HI Baltimore MD - HI Harper's Ferry MN - HI Mississippi Headwaters NY - HI New York City OH - HI Malabar Farm OR - HI Portland, Hawthorne District OR - HI Portland, Northwest TX - HI Austin TX - HI Houston, The Morty Rich Hostel VA - HI Richmond WI - HI Madison WA - HI Seattle at the American Hotel Number of overnights requested:Please select... 1 2 3 4 5 5 with additional overnights at normal rate Maximum number of free overnights is 5. Groups may pay for additional overnights past 5.Groups may pay for any overnights before January 1 and/or after February 28. Groups must volunteer 2 hours per day for each free overnight. Preferred Arrival Date (between January 1, 2017 and February 28, 2017 This may change based on availability. Preferred Departure Date (between January 1, 2017 and February 28, 2017 based on availability. Total number of group participants in GHGB Are any members of the group below the age of 18?NoYes Number of group participants below the age of 18 HI USA Recommends one chaperone for every 10 members below the age of 18. Please describe the group's planned service project. For assistance selecting a service project, please visit www.volunteermatch.org How did your group hear about the Great Hostel Give Back program? HI USA Email HI USA Website Word of Mouth Other Please State Other: GHGB Application Agreement I have read the Great Hostel Give Back (GHGB) Program Details and I agree to comply with the group requirements of the GHGB program, which include:Completion of two hours in the community per day for each free overnight.Completion of hostel activity and Hostelling 101 session. Completion of reservation contract (with credit card guarantee) and program contract.Completion of the pre-stay and post-stay survey by participating group members over the age of 18.I understand that failure to complete the group requirements could lead to a cancellation fee and/or inability to return for next year's GHGB program as described in the GHGB Program Details.In addition, I give permission for the group name and any submissions to be used by HI USA. Online Signature Today's Date Need assistance with this form?