• Adventures
  • Activities
  • For Parents
  • Request a Brochure
  • Contact Us
  • Meet AQ
  • Plan & Enroll
  • Trip Logs
  • Videos
Apply
Now
  • Adventures
  • Activities
  • For Parents
  • Get A Brochure
  • Meet AQ
  • Plan & Enroll
  • Trip Logs
  • Contact Us
Apply Now +1.941.924.6789
ActionQuest scuba diving group

Enrollment Application


1 Student Info
2 Parent /Guardian Info
3 Adventure Info & Terms
4 Insurance & Deposit
5 Review & Submit

  • 1. Student Information

    Student Details

  • Date Format: MM slash DD slash YYYY
    Be sure to select the correct year
  • As defined by the passport you travel with
  • Please note that these are male sizes, so adjust for females
  • Please enter a number from 70 to 300.

  • Weight Converter
    Omni

  •  

  • Please be specific

  • Student Home Address

    We mail all correspondences to this address prior to, and after the program. This address should be valid for a minimum of 3 months after your adventure ends.

  •  


    School Information

  •  


    Your Previous Experience

  •  


    Medical Information

  • Please use the field below to give us a sense of these considerations.

    We're not necessarily looking for a full medical history at this point (a completed medical form is required for all students before the program), yet we use the information you give us now to help determine whether the trip selected is appropriate and that the student has a high likelihood of success. For example, certain respiratory or pulmonary complications may restrict the ability to scuba dive, or acute allergic reactions to common food items can be a concern given our remote location.

  • The very nature of an AQ Adventure creates a living, social, and working dynamic that is very different from the home environment. For this reason, if the student has been under the care of a therapist, psychiatrist, or psychologist at any point in the last 12 months, we ask that the Counseling Professional complete a specific questionnaire. Exceptions to this requirement may be alumni who have previously submitted this form and been accepted.

    Please enter an address below, and we will email you the Counseling Questionnaire along with some more information.

  •  

     

Save and Continue Later

  • 2. Parent / Guardian Information

     

    Please provide us with as much information as you can.

     

  •  


     

    First Parent / Guardian Information

  •  


     

    Second Parent / Guardian Information

  •  

     

Save and Continue Later

  • 3. Adventure Selection, Terms & Agreements

    a. Adventure Selection


  • Your adventure selection is not valid. Please reselect a valid adventure from the list above.

  • Enrollment for our 70-day Transatlantic Voyage is by invitation only until November 1st, 2020. If you are enrolling during this period please enter your invitation code to continue.

    Open enrollment will commence on November 1, 2020 - If you would like to be considered for a position on the team or have general questions, please call our office at +1.941.924.6789 EST.

  • Please enter your invitation code above
  • Thanks for entering the code - Please continue your application, the code will be verified upon submission

  • Your adventure selection is not valid. Please reselect a valid adventure from the list above.

  • Your adventure selection is not valid. Please reselect a valid adventure from the list above.


  • b. Terms Agreement & Participant Agreement

    Read the following carefully. These documents contain important information and may affect your legal rights if an injury or other loss occurs.

  • Once we have processed the enrollment application and created a student portal, the student will be asked to generate and sign a digital version of these agreements. In the meantime, feel free to download a copy by clicking here https://www.actionquest.com/release.

  • Once we have processed the enrollment application and created a student portal, you will be asked to generate a digital version of these agreements, which must be signed by BOTH student and parent/guardian. In the meantime, feel free to download a copy by clicking here https://www.actionquest.com/release.

  •  

  •  

  •  

     

Save and Continue Later

  • 4. Insurance & Deposit

    a. International SOS / MedAire Membership & Emergency Evacuation Insurance (required)

    Because we want to be prepared for every scenario, we've partnered with International SOS and MedAire, the world's leading medical and security risk services company to provide complete emergency evacuation coordination and insurance for our students. A critical piece of this plan is that International SOS / MedAire membership also provides 24/7 access to a robust network of doctors and security services both before and during the trip. The cost of the membership is $85 per student for Adventures up to 21-days, $150 for 40 and 50-day trips, and $225 for programs between 70 and 90-days . While we understand that this is an additional fee, we believe our students and their families will appreciate the value of International SOS and MedAire's services along with the peace of mind that this resource brings. We will add the membership fee as a separate item on your tuition invoice, and prior to the program we'll send all of your International SOS membership / MedAire details.

    Please note that this is not Tuition or Medical Insurance. Those seeking to protect their tuition investment should consider the optional insurance packages outlined below.


    b. Tuition & Medical Insurance (Optional)

    Life is uncertain, so it’s important for students and parents to consider protecting their tuition investment. Purchasing Tuition & Travel Protection Insurance provides coverage for unexpected travel emergencies including certain medical benefits, airline, and trip interruption coverage. In many cases, you can also select a Cancel For Any Reason policy that allows an additional degree of flexibility should your plans change before the summer.

    Options differ depending on where you live, so start by selecting your residency to learn more.

  • Since you are applying to join us for our 70-day Transatlantic Crossing voyage, you'll need to consider insurance options through Travelex Insurance. This is because your program is a longer duration than a typical AQ summer experience. To learn more, please visit www.seamester.com/insurance and link to the Travelex Quote Tool for information on policy benefits and premiums.

  • This TripMate insurance package contains a "Cancel for any reason" provision and is available for U.S. residents of all states other than New York. Benefits include*:

    • Trip Cancellation – Covers 100% of your trip cost for cancellation "covered" reasons such as injury etc
    • Cancel for Any Reason – If you cancel your trip for any reason not otherwise covered by this policy, TripMate will reimburse you for 75% of the unused non-refundable prepaid expenses for your trip.
    • Trip Interruption – Covers up to 125% of your trip cost if your program is interrupted.
    • Medical Expenses - Covers for accident and sickness medical expenses up to $100,000 USD.
    • Baggage – Up to $1000 for damage, lost, or stolen personal articles.

    *Please Note that TripMate may change their benefits relative to COVID-19 based on the date of plan purchase. Please visit http://www.TripMate.com for more infomation.

    Learn more about TripMate plans on our website here HERE

  • This TripMate insurance package is designed specifically for U.S. New York residents and provides coverage for unexpected travel emergencies. Benefits include*:

    • Trip Cancellation – Covers 100% of your trip cost for cancellation reasons such as injury etc
    • Trip Interruption – Covers up to 125% of your trip cost if your program is interrupted.
    • Medical Expenses - Covers for accident and sickness medical expenses up to $100,000 USD.
    • Baggage – Up to $1000 for damage, lost, or stolen personal articles.

    *Please Note that TripMate may change their benefits relative to COVID-19 based on the date of plan purchase. Please visit http://www.TripMate.com for more infomation.

    Learn more about TripMate plans on our website here HERE

  • This TripMate insurance package is designed specifically for Canadian residents, and provides coverage for unexpected travel emergencies including the following.

    • Trip Cancellation Up to 100% Trip Cost
    • Trip Interruption Up to 100% Trip Cost
    • Accident and Sickness Medical Expense $1,000,000
    • Travel Delay $1,000 ($150/day - 12 hours)
    • Missed Connection $750 (3 hours)
    • Baggage & Personal Effects $1,500
    • Baggage Delay $500 (12 hours)
    • Pre-Existing Conditions Exclusion waiver if purchased within 21 days of deposit

    Click HERE to launch a separate browser window and create a quote. Alternatively, information is available on our website at actionquest.com/trip-insurance.

  • We recommend you consider an insurance policy through Abroad Insurance that offers worldwide coverage for non-US residents. This information is on our website and will be provided in an email to you upon request. Alternatively, click HERE to learn more.

  •  


    b. Deposit Details & Payment Authorization

    Authorization for a one-time charge to your credit card to pay the application deposit and Tuition & Travel Protection Insurance (if selected) according to the Terms and Agreements. Standard deposit is $1000 USD when enrolling through March 31, then $1500 USD on/after April 1.

  • Price: $1,000.00

  • Price: $1,000.00

  • Price: $280.00
  • Price: $280.00
  • Price: $425.00

  • Price: $390.00
  • Price: $390.00
  • Price: $638.00

  • Will be charged to your credit card
    $0.00
  •  


    d. Discount / Scholarship Code

  • Please note that the discount/scholarship does not apply to towards the enrollment deposit but will be applied to the program tuition. This includes any Free Trip Insurance Promotion.

  •  


    e. Credit Card Information

  • American Express
    Discover
    MasterCard
    Visa
     
  •  

     

Save and Continue Later

  • 5. Review & Submit Your Application

     

    Please review the information below for accuracy. If you need to make any changes, simply click on the step links above to jump to that page.

  • Student Information

    Name {student first name:1} {student middle name:3} {student last name:2} Preferred Name {student preferred name:4}
    Date of Birth {date of birth:5} Country of citizenship {country of citizenship:18}
    Sex {sex:7} {transgender:20} Height {height:8}
    Weight {weight:9} lbs. T-shirt Size {t-shirt size:10}
    Phone {student primary phone:13}   {student primary phone type:159} Email {student email 1:11}
    Mailing Address {student street address 1:29}, {student street address 2:30}
    {student cIty:31}, {student state/province:175:value} {student zip:32}
    {student country:34}
    School Info {school:14}
    Current Grade {grade:15}
    How I heard about ActionQuest: {Learn About:52}

    Parent/Guardian Information

    First Parent/Guardian Information (if applicable) Second Parent/Guardian Information (if applicable)
    Relationship {parent/guardian 1 relationship:136}   {parent/guardian 1 relationship:126} Relationship {parent/guardian 2 relationship:137}   {parent/guardian 2 relationship:145}
    Name {parent/guardian 2 first name:98} {parent/guardian 1 first name:99} {parent/guardian 1 last name:100} Name {parent/guardian 2 first name:113} {parent/guardian 2 first name:112} {parent/guardian 2 last name:111}
    Email {parent/guardian 1 email:114} Email {parent/guardian 2 email:115}
    Primary Phone {parent/guardian 1 primary phone:102}   {parent/guardian 1 primary phone type:103} Primary Phone {parent/guardian 2 primary phone:110}   {parent/guardian 2 primary phone type:109}
    Secondary Phone {parent/guardian 1 secondary phone:101}   {parent/guardian 1 secondary phone type:104} Secondary Phone {parent/guardian 2 secondary phone:108}   {parent/guardian 2 secondary phone type:107}
    Mailing Address {parent/guardian 1 street 1:138}, {parent/guardian 1 street 2:139}
    {parent/guardian 1 city:140} {parent/guardian 1 state:173:value} {parent/guardian 1 zip:142} {parent/guardian 1 country:143}
    Mailing Address {parent/guardian 2 street 1:147}, {parent/guardian 2 street 2:148}
    {parent/guardian 2 city:149} {parent/guardian 2 state:174:value} {parent/guardian 2 zip:151} {parent/guardian 2 country:152}

    Adventure Information

    Primary {primary trip:188} Back-up {back up trip:178}
    Applying for two adventures? {two trips:195} - {secondary trip:196}


    Your Previous Experience

    Scuba: Certified or have referral by summer? {Scuba Certs:239}   {What Scuba Certs:241}
    Sailing: Do you have experience? {Sailing Experience:240}   {What Sailing Experience:242}


    Medical Information

    Any medical considerations?: {health considerations:66}   {What health considerations:71}
    Under the care of a therapist, psychiatrist or psychologist in the last 12 months?: {Psychiatrist:70}


    Terms Agreement - Including Enrollment, Payment, Refund, Cancellation and Dismissal Agreements; Medical Authorization & Expense; Authorization to Use Images of Participant; Dispute Provisions

    {student terms agree:176:value}
    {parent terms agree:268:value}

    Participant Agreement - Including Declaration of Activities and Risks, Acknowledgment and Assumption of Risks & Liability Release and Indemnity

    {student participant agree:177:value}
    {parent participant agree:270:value}

    Trip Insurance

    {USA & Canada Insurance:201:value}{USA & Canada Insurance:259:value}{NY State Insurance:210:value}{NY State Insurance:258:value}{Non US Insurance:213}


    Payment Information

    Once program availability and suitability has been verified, {Total:191} US Dollars will be charged to your {Credit Card (Card Type):192.4}, {Credit Card (Card Number):192.1}. You will receive a separate email confirming this transaction sent to the email address that you specify below.

    {Saving Code Blurb for App 1:221} {Promo Code:218} {Saving Code Blurb for App 2:220}

  • Date Format: MM slash DD slash YYYY
  •  


    Confirmation Email

  •  

    Press the Submit Button Only Once

    Complete your application by pressing the submit button below. Form processing time depends on your internet speed, so please only press the button once in order to avoid multiple submissions.

  • This field is for validation purposes and should be left unchanged.
Save and Continue Later

  • Blogs
  • Contact
  • Employment
  • Portal
  • Store
  • Custom Trips
Other Programs We Offer
GoBeyond student travel logo

Give a little and gain a lot as you explore the world helping those in need.

gobeyondtravel.com
Semester at sea logo

Take your studies to the sea and earn college credits while you sail the globe.

seamester.com
© 2021 Global Expeditions Group
  • Privacy Policy
  • Site Map