Freedom Flotilla Application Form

First Name

Surname

Phone Number

Please include country code.

Address

Full mailing address including city, state/province, country, postal code

Citizenship/Nationality

Country of Residence

Passport Number and Country

Passport Expiration Date

Date of Birth

Place of birth

What is you current employment/career?

Please provide a brief description of the type of activism you have previously participated in

Briefly explain the type of activism/activism-event organization that you are currently engaged in

Have you been to Palestine or Gaza? If so, where and when? Please summarize the experience in a paragraph

Why do you want to participate in the 2024 Gaza Freedom Flotilla?

What type of Palestinian solidarity work do you plan to do upon your return from the mission?

Are you willing to host awareness events in your community before and after participating in the flotilla?

Briefly describe the events you envision putting on - to whom/where

Are you able to write an article(s) about Gaza and the importance of international solidarity with Gaza and Palestine? If you are a journalist please share the which media organization you work for

Are you able to use your social media platform accounts to forward information about the Freedom Flotilla Coalition (FFC) and track the voyage? and what is the number of followers on your social media? Please list your social media handles

Do you understand the financial implications of the mission on you personally? Participants are expected to cover their own transportation to the embarkation point and any other expenses off the boat.

Are you able to fundraise for your national campaign's contribution for the operational expenses of the boat?

What is a possible fundraising plan you would utilize?

Have you been on boat voyages before? When? What type of boat?

Do you get seasick?

Are you currently on any medication for serious illnesses?

Please list any conditions you have that might affect how you might react to situations of extreme stress including heart conditions, anxiety, PTSD or other physical or mental conditions.

In previous missions, Israeli forces have used violence and created extreme physical and mental stress.

Please provide the (a) names (b) emails (c) phone numbers of two references from your activist community

Are you available for two weeks to sail with the Break the Siege flotilla? You will be notified approximately 10 days before the sail date.

When would you be available between now and Aug 15 for the Break the Siege Freedom Flotilla missions?

I give permission to Freedom Flotilla representatives to contact me (Required for applications)