KENYA EDUCATIONAL APPLICATION FORM Thank you for your interest in this exclusive AAA & CAA Travel educational to Kenya. To apply, please complete the details below. Passport first name * Please ensure Passport information matches passport document Passport middle name Passport last name * Date of birth * Year Year192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Years as a travel advisor * Are you a full-time travel advisor? * - Select -YesNo Have you accepted an African Travel educational safari before? * SelectYesNo If Yes, list which educational safari you have traveled on and travel date. * Are you a manager or employee? * SelectManagerEmployee Top 3 selling destinations to date? * What are your estimated total annual gross sales? * Have you booked with African Travel, Inc.? SelectYesNo If NOT, who have you used in the past for African safaris? * Why are you interested in traveling with African Travel, Inc.? * I want to experience African Travel journeys firsthandI want to explore African culture and wildlife up closeI want to see what luxury safaris are all aboutI want to deepen my expertise in selling African safaris Following your trip, how do you intend to promote African Travel beyond the required application requirements? * Agency name * Agency address * City * State/Province * Zip/Postal Code * Country * - Select -AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Best daytime telephone number (Including area code) * Mobile number (Including area code) * Email address * IATAN/CLIA number * (Advisors must have a valid number and the agency is approved by IATAN/CLIA to qualify for this safari) Does your agency require managers approval? Yes No If YES, please fill out the below contact information Name Email Telephone number If selected, would you like to have your itinerary & documents mailed to the agency? Yes No If no, please provide alternative address PLEASE REVIEW THE REQUIREMENTS AND IMPORTANT INFORMATION BELOW. AFTER READING AND UNDERSTANDING ALL POINTS, CHECK THE BOX TO CONFIRM YOUR AGREEMENT. REQUIREMENTS: Complete African Travel University courses before the trip (register/log-In here). Promote African Travel journeys through at least one post-trip marketing initiative (e.g., email blast, blog post, social media, an article in local publication, etc.) Host an in-person or virtual safari night to share insights and inspire clients to book their own African Travel adventure. TRAVEL HEALTH INFORMATION: For preventative measures, please consult your personal physician or local health department at least 8 weeks prior to travel. Any other additional medical recommendations should be provided by your doctor. IMPORTANT INFORMATION: Passports must be valid at least six months beyond the safari. e-Documents will be provided prior to departure. Once you are confirmed, payment is due in order to confirm your reservation. Payment is non-refundable. Travel protection coverage is required. Educational is for advisors and up to three traveling companions. I HAVE READ, UNDERSTOOD, AND AGREE TO ALL INFORMATION PROVIDED. * Yes
