Poetice

POETICE ZAMBIA VISITATION FORM

EMPLOYEE INFO

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VISITOR INFO

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COMMUNICATION PREFERENCES

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TRAVEL DATES

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EMPLOYEE TIME OFF REQUEST

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AIRFARE

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TRAVELERS INSURANCE

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BACKGROUND CHECK

If you are unsure, we suggest you select 'YES'. We must have a background check on file in order for anyone to serve with us. The cost for the background check is $50 and is valid for 2 years.

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IMMUNIZATIONS

All visitors will be responsible for determining & receiving all immunizations necessary for travel. Please visit the Center for Disease Control (cdc.gov) to get started.

Important Information

Please keep in mind that you cannot save this application once you start it, so be sure to complete and scan any necessary uploads prior to starting your application.