new directions registration form

SCHOLARSHIP APPLICATION

Completed applications and all accompanying information must be received by the New Directions’ office by January 31st for Spring, Summer and Fall tours and by July 31st for all holiday tours.  Scholarship funds are limited. In order for the maximum number of applicants to receive scholarships, we ask that the applicant or others contribute as much as possible toward the cost of the tour. 


A New Directions’ scholarship committee will review and award scholarships in February and August of each year. You will be notified of their decision no later than 30 days after their meetings. Unfortunately, we are unable to give scholarships to everyone who applies. We constantly fundraise to provide financial assistance for as many people as possible. Most of the money raised goes toward our holiday programs to provide a family-style vacation for those without anywhere to go. The majority of scholarships given are partial gifts in the $500 - $1,000 range. Thank you and good luck! We hope the applicant will be traveling with us soon. 

Scholarship Request #1
Scholarship Request #2
Scholarship Request #3
Scholarship Request #4



Please note: If a traveler must be sent home early due to disruptive or aggressive behavior, or is refused boarding by an airline or cruise ship due to lack of valid identification, this will occur at the traveler's expense and without refund. Please consider this carefully before signing up for a tour. Thank you.

We need their legal name that is on their photo I.D.


example: Billy, Buddy, Susie, etc.
please use a slash or a dash between month/day/year and enter the year as four digits, example: 10/10/1960 or 5-5-1975.









COGNITIVE / MENTAL INFORMATION



DIABETES INFORMATION
SEIZURE INFORMATION
SELECT ALL THAT APPLY
MOBILITY INFORMATION







Traveler's Behavior

If a traveler must be sent home early due to disruptive or aggressive behavior, this will occur at the traveler's expense and without refund. Please consider this carefully before signing up for a tour.


Traveler's Self Care

Dressing

Bathing

Feeding

Traveler's Self Care

Hygiene

Toileting




Swimming Ability Is the traveler okay to use a hot tub?
Safety Skills
Money Skills
Sleeping Habits


Traveler's Address








leave blank if you do not have one
Traveler Billing Contact








Additional Traveler Contact Roles

Billing Contact - Who do we send invoices, statements, etc? Travel Day Contact - Who do we contact on the first and last day of the tour for travel related issues? Mailing Contact - Who do we send the traveler's itinerary, packing list, name badge, etc?
Who will be the contact person on the first and last day of the tour for travel related issues?
Travel Day Contact









Who would you like to receive the traveler's itinerary, flight info, packing list, name badge, etc?
Travel Information Mailing Contact










Tour Payment





Online Payment Information