Last Revision July 2008
The following pages contain the application to lead an AMC Major Excursion. Please complete the form with as much detail as possible, and attach additional sheets if necessary. Also include a detailed budget/costing sheet that clearly shows all costs associated with your planned excursion. The trip proposal form and budget are due two weeks prior to the MEC meeting in which it will be reviewed. Deadlines will be posted on the MEC leader website (
) and sent to you on the MEC leader listserv well in advance of the meeting. The MEC will not accept late proposals unless the chair is notified in advance with a compelling reason.
Incomplete applications will be returned to you and not reviewed until complete, so please make sure to fill in all applicable sections.
The application was created in a Microsoft Word protected document. To fill in each section click on the check box and/or on the grey text box and start typing. The boxes will automatically get larger as you fill in text. If you find that you need a lot of space to explain a section, please say “see additional attachment” and attach a separate page.
In addition, the following are helpful during the review process, but need only be submitted after your proposal is accepted:

50 and 150 word notices for the AMC Outdoors and
. Please see the current rules -
and schedule for submitting notices for the AMC Outdoors .

Trip prospectus – without the application forms attached – in Microsoft Word or PDF format
Finally, we need to have on file at Joy Street, the following documents:

A completed confidential medical form for the leader and co-leader (after approval is given)

Copies of first aid and CPR certifications for leader and co-leader (before or after approval is given)

A completed application to be a co-leader if the co-leader is new (before proposal is submitted)
We will accept snail mail applications, but electronic forms are preferred. Please save and forward your electronic document with the following naming convention:
 Leader’s last name, trip destination, year of trip and what type of document it is (application, budget,
Outdoors listing or prospectus)

For example, Smith-New Zealand-2007-Application.doc or Smith-New Zealand-2007-Budget.xls
Applications should be sent electronically to the MEC Chair, Stacia Zukroff, at
and to cyout@outdoors.org. They can be mailed to: Travel Programs Coordinator, 5 Joy Street, Boston, MA 02108. If you have any questions, please contact Stacia at: 781-648-5503 or
.

Title of trip
Leadership
Location(s)
Dates
Type of trip check all that apply
Incredible India Tiger Safaris, Buddha and Landscapes
Leader Carson Tang
India
Co-leader Erik Madsen
December 27, 2010 - January 17, 2011 Total # of days 22
Hiking Downhill skiing Kayaking
Backpacking Cultural Road biking
Nordic ski Mountain biking Snorkeling
Other – please describe
Number of participants
(excluding leaders)
Advertised cost
Max 20 Min 14
$ Week 1 & 2
Approx. $3,250
($3,400 after 6/30),
Week 3 Approx.
$1,700
$ Approx. $1,350
Does it include airfare? Yes No
Airfare range if not included
Do you wish to have your trip listed online before it is published in The Outdoors?
(X) Yes No If yes, please list the approximate month (max is one year in advance of trip)
IMMEDIATELY
Is this proposal for a small group trip – i.e., less than 14 participants and 2 leaders Smaller trips and leader subsidization or 7 participants and 1 leader?
Yes No
If yes, why is a small group proposed? Week 3 accommodates an anticipated smaller group due to some people being unable to take more than two weeks vacation.
If a participant fee increase of more than 15% is proposed, please explain why?
Leader name Carson Tang
Leader address 1653 11th Avenue, Brooklyn, NY 11215-6018
Leader email carsonoutdoors@earthlink.net
Leader phone Home 347.689.9090
Work 347.689.9090
Wilderness first aid training

WFA AWFA WFR Expiration: will renew prior to trip
CPR training

CPR BLS Expiration: will renew prior to trip
Prior leading experience
Trip one
Trip two
Trip three
Please list the last three longer (5+ day) trips you have led for the AMC including destination, type of trip, dates and number of participants. Feel free to list additional trips you have led, particularly if they demonstrate experience related to the trip you are proposing.
Alaska, Hiking, 16 Days, July 2009, 16 Participants
Canadian Rockies, Hiking, August 2007, 16 Participants
Utah, Hiking, 16 Days, May 2006, 18 Particpants

To lead a major excursion you must have current CPR and WFA at the time of your trip (or AWFA for all backcountry trips). If you do not have the required level of certification at the time you submit your proposal or it will expire before the date of your trip, you will need to make arrangements to recertify in a timely manner.


Other related trip experience China, Culture, 18 days, August 2009, 16 Participants
Co-leader name
Co-leader address
Erik Madsen
70 Oak Hill Drive, Bristol, CT, 06010-2438
Co-leader email
Co-leader phone emadsen2004@yahoo.com
Home 860-314-0125 Work 860-418-6012
Wilderness first aid training* WFA AWFA WFR (X) Expiration: 04/2011
CPR training*
CPR BLS Expiration: Will renew prior to trip
Prior leading experience
Trip one
Trip two
If you are a new co-leader you must submit an application to be a major excursions leader or co-leader prior to submitting this application.
Japan, Hiking & Culture, 18 days, September 2009, 12 Participants
China, Culture, 18 days, August 2009, 16 Participants
Trip three Bhutan, Trek & Culture, September 2007, 12 Participants
Other related trip experience
Scouting
Have either of you led this trip before or traveled to this area?
Languages
Does either the co-leader or leader speak the local language?
Yes No If yes, please describe below:
Co-leader: Yes
Leader: Yes
Not applicable:
No
No
Couples
Do the leader and co-leader have a significant personal relationship?
Yes No If yes, please list who has agreed to be your back-up in case one or both of you need to drop out. This is required for approval!
Private trips
Do either of you lead trips that are private - not sponsored by the AMC?
Yes No If yes, please note that you cannot advertise AMC and private trips together unless there is a clear distinction between the two in any marketing materials you send out.
See trip itinerary.
See Outdoors listings.
Executive summary
Please provide a brief description of the trip and the activities planned.
Accommodations
Please describe your plan for accommodation(s)
Meals
Please describe your plan for providing meals
Permits or permissions
Does the trip require special permits or permissions?
(required on many U.S. federal lands and national parks)
Western style hotel accommodations and jungle lodges arranged by outfitter.
All meals coordinated and provided by outfitter throughout entire trip. Lunches and dinners will be predominantly Northern Indian cuisine in restaurants. Breakfasts will be in hotels and feature Indian food and possibly some American food.
Yes No
If yes, please describe below what you will need to do to obtain them:
All national park access to be arranged by outfitter.
If no, please describe the process you went through to find out that they were not required:
Special equipment
Does the trip require special equipment?
Yes No If yes, please describe below what type of equipment and how you will ensure that people know how to use it:

Special experience
Does the trip require special skills on the part of the participant?
Pre-trip activities
Do you plan to get your group together before the trip for an activity or social event?
Conservation, education and recreation
How will this major excursion meet the mission of the AMC?
mission.cfm
Yes No If yes, please describe below what type of experience? Also describe how you will ensure that the participant has this experience?
Yes No If yes, please describe below what you will do:
Dinner and group get together with those nearby at Indian Restaurant and/or group conference call or webinar
The trip enlists Naturalists and local guides to share information and answer questions about the culture, history and indigenous wildlife. Learning will be immersive as we explore habitats, national parks, architecture, forts, temples, natural environments, and various landscapes throughout north central India.
Will this trip require a tour operator or guide service during part, or the entire trip?
Yes No
Please describe their services. If you are using a tour operator for the entire trip, please describe why you will be using them rather than doing this trip on your own:
An outfitter is coordinating the entire trip. The outfitter is better equipped to deal with logistics in India than the AMC. A outfitter escort will accompany the group each day.
Local guides are added at parks and some sights for additional support and education.
Indian Panorama Name of tour operator/guide service
Tour operator website
Safety record
Please provide information about their safety record. www.indianpanorama.in
Have not had any incidents on any group tours requiring hospitalization.
Insurance
Do they have liability insurance?
Emergency response
Please describe the outfitters’ response plan in the case of an emergency.
Liability? Yes No
Are they willing to list AMC as an additional insured? each location
Maximum amt: $
Yes No
Tour escort will have a mobile phone and coordinate with our local service providers in
Please assess the risks and hazards of your trip. Carefully consider each area of risk and how it may affect your trip.
Devise a plan to prevent each hazard and to respond to it if it becomes necessary. Please be very specific for each section if applicable.
Climate/terrain
Potential hazards
Trail conditions, river crossings, weather, wildlife (bears, snakes, etc.)
Entry into wildlife areas will be only under the supervision of naturalists on safaris provided by the government forest department. Other than this there is no access to the park. Snakes are endemic in India
Response
Foreign Country
Potential hazards
Local medical centers have anti venom
Political concerns, crime, language translation, terrorism
India is politically stable at present. The escorts and guides speak English, so no translation required. Terrorism is endemic around the world. The region being visited is not a higher risk than any other country or region
Response
Transportation
Potential hazards
Road conditions, drivers, insurance
Drivers are experienced and familiar with all routes used on this trip. Vehicles are

Response
Participants
Potential hazards
Response
Other
Potential hazards
Response registered and insured for carriage of tourists
Level of fitness, screening concerns, experience with equipment or activity
Moderate level of fitness only required, no long treks or strenuous activities. Safaris will be conducted using vehicles not on foot
Conditions unique to this type of trip
Please describe your plans for dealing with emergencies. Use as much detail as possible, and list any special communications equipment you may need to ensure the safety of your participants. DO NOT LEAVE THIS SECTION
BLANK
Emergency communication
Phone contacts, language, documentation, distance from emergency services
Tour Escorts will have a mobile phone for contacting local service providers in each location. They will suggest suitable medical assistance according to the situation. There are Dr's in small towns and fully equipped hospitals are available in Delhi, Jaipur and
Agra. The clients would be transported to one of these centres if required and the mode of transport determined by the situation at that time and the provisions of their personal travel insurance policy
There will be a first aid kit in the coach Emergency equipment
What sort of emergency first aid or communication equipment (satellite phone, two-way radios) do you plan to use, if any?
Evacuation
Please describe your plan for evacuation from the backcountry location if applicable?
Airports are available at Delhi, Jaipur and Khajuraho. From any other location the participants would travel by road to one of these centers.
Dr's are available in all small towns and fully equipped hospitals are available in Delhi, Medical care
Please describe the medical care available in the area(s) where you will be traveling and list names and telephone numbers for these facilities.
Agra and Jaipur. Our local service providers and hotel managers have all the contact details for the medical services and hospitals in their location.
Tour is quoted in USD based on the current rate of 45Rs = 1USD.
Outfitter will invoice in USD. Payments likely to be wire tranfers to an Indian account. If significant price increase occurs due to change in exchange rates or other cause the price to the participants will be increased accordingly.
Foreign currencies
For int’l trips list each foreign currency, the current $US dollar exchange rate and what contingencies you have if that rate changes. If a tour operator or agent is being used, what currency is the agent to be paid in?
Deposits
What deposits will be required by airlines, hotels, tour operators, etc., and when?
Refunds
What is the latest date you can
Domestic and International flight payments due upon reservation being made
(nonrefundable). 30% tour cost due upon reservation of hotel rooms (to ocurr when trip has sufficient participants enrolled to do so). Tour payments due in full 60 days prior to trip.
Cancellations to outfitter received more than 60 days prior to the arrival date will be fully refunded, less any cancellation fees charged by the airlines. Cancellation to outfitter from

cancel and still receive a full refund?
Participant deposit
What are the initial deposit and your schedule of payments?
Cancellation policy
What will your cancellation policy be for the participants?
Minimum numbers
Will you still run the trip if you do not get the minimum number?
Reference web links:
MEC Home Page:
Forms:
Deadlines:
E-Mail Addresses:
Club House:
MEC Chair:
60-30 days prior to tour starting 20% cancellation fee. Less than 30 days prior to tour starting 80% cancellation fee.
$2,600 deposit due with application. Balance due by 9/30/10
Upon deposit to bank of Participant's deposit, participant is subject to ME Cancellation and Refund policy. A participant deposit is considered a contractual commitment to the trip. Cancelation refund will be determined based on final trip enrollment and costs brought to bear on trip participants and the leaders due to the cancellation. A full refund will be issued if the trip fills (minus non refundable tickets etc.).
Yes No If yes, please describe conditions:
Part one of the trip must have 14 participants or it will cancel. Part two of the trip may run with just the Coleader and participants if less than 8 participants sign up. Trip part two is dependent upon leaders having sufficient finaces to pay amc fees and trip costs. http://snebulos.mit.edu/orgs/amc/ http://snebulos.mit.edu/orgs/amc/application/ http://snebulos.mit.edu/orgs/amc/listings
mecchair@amcboston.org