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* 1. Please enter your full name

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* 2. Email address:

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* 3. Telephone number:

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* 4. What are you hoping to offer to Tibetans by visiting their home?

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* 5. What are you hoping to gain from the tour?

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* 6. In what capacity have you engaged with cultural sustainability work in your own community?

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* 7. Do you have a valid passport?

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* 8. Are you able to pay for your own passport, visa and domestic US airfare to LAX or Sanfran airport?

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* 9. Are you physically able to travel long distances on rough roads, with limited amenities?

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