application Form

Travel4Liberia is an organization that provides traveling opportunities for young and determine Liberian who yearn to
experience travels and adventures outside of Liberia. We provide travel opportunities through Internships, Voluntarisms,
Scholarships (Undergraduate, Graduate), trainings, Youth Conferences and Submits etc.
Please Note!! We do not give Visa, we provide all the necessary paperwork to enable you to successfully obtain a visa.
PERSONAL INFORMATION (Please use a separate sheet if necessary)
First/Given Name:

Middle name:

Gender/Sex
Date of Birth
Male Female
Place of Birth (Province/State)

Marital Status
Single Married

Home Address

Last/Family name
Country of Birth
Divorced
Phone #

Citizenship
Email address

Mailing Address

Passport Information
Issue Date
Expiration Date
Place of Issue
Passport Number

EDUCATION INFORMATION
High School Name

Location

Attended from (MM YY-MM YY)

Degree Obtained

Vocational/Technical School Name

Location

Attended from (MM YY-MM YY)

Degreed /Major Obtain

College/University Name

Location

Attended from (MM YY-MM YY)

Degree/Major Obtained

Highest level of education Obtained

Standardize test taken

TOEFL
SAT
MAT

Other (Specified )
GMAT

ACT

Date Taken

score

Other

Emergency Contact
Name

Mobile Number

Relationship to the Applicant

Name

Mobile Number

Relationship to Applicant

TRAVEL INFORMATION
Intended Country(s) you wish to travel
1
2
3
4

Do you have a family/friend/acquaintance in

your intended country of travel who is willing
to host you?
Yes I Do
No I Do Not

Have you travelled out of you home

country before? Yes
No

If yes please specified

Country(s)

If Yes please provide their information

Name
Cell Number
Relationship
Country
Address
Date
Length of stay(mm yy -mm yy)

Have you ever been denied a visa

before?
Yes I have been denied a visa before
No I have never been denied a visa
before

If yes please specified

Date
Location
Country
Reason you were denied the visa?

Who will be underwriting the cost for your

trip?
Myself
Other (Please Specified)
Name
Relationship
Occupation

Do you have a criminal record in any

country? Yes
No

If Yes please explain

Country(s)

Reason

REQUIREMENTS
Admission Form
Passport Information Page (If Available)
One Passport size photo

application Form
Complete the form and send it as an email attachment to travel4liberia@gmail.com. Once received, we will send you a
confirmation email that your application has been received and on file. Within the next few days, we will schedule a cell phone
interview with you. If you do not have your passport at the time you submit this application, put in for your passport
immediately.
Please know that we charge fees for these life time opportunities and the fees varies per country. The cost for travel documents
to South Korea will be relatively higher than South Africa.
TERMS AND CONDITIONS
We do not give visa, we provide the necessary travel documents to enable you to successfully obtain obtain a visa. All
documents submitted to travel4liberia become the sole property to travel4liberia and cannot be returned. You will be asked to
pay the require fee before we can hand deliver your documents to you.
DECLARATION AND SIGNATURE
I hereby declare that I have read and understood all the terms and conditions of this program and I am willing to
continue.
I understand that there is cost related to this program and I am able to underwrite the cost. I hereby certified that
all the information on this application in accurate to the best of my ability. Should any misleading information be
found on this application, Travel4Liberia has the right to terminate my application without further notice.

Applicant Signature

Date