| APPLICATION FORM |

The SiGMA Foundation Pre-Summit Via Francigena Trek

Basic Information

First name*

Last name*

Email*

Date of birth

Nationality & Country of Residence

Phone Number (including country code)

Emergency Contact Name & Number

Fitness & Experience

1. How often do you exercise?

Light (1-2 times a week)

Moderate (3-4 times a week)

High (5+ times a week)

2. Have you participated in a multi-day trek?

Yes

3. Have you ever done a physical challenge as part of a group?

Yes

4. Have you ever hiked or trekked before? If yes, provide details (e.g., locations, difficulty levels).

5. Do you have any pre-existing medical conditions (e.g., asthma, knee issues, heart conditions)?

6. Are you currently under any medical treatment that we should be aware of?

Fundraising Commitment

7. Do you commit to raising a minimum of €1,500 for the SiGMA Foundation's chosen project?

Yes

8. Please share your fundraising plan (ideas on how you intend to raise funds).

Logistics & Preferences

9. Do you have any dietary restrictions or allergies?

10. T-Shirt Size (for expedition gear)

Shortlisting & Team Compatibility

11. Describe yourself in a few words (team player, adventurer, leader, etc.).

12. What motivates you to join this challenge?

14. How do you handle challenging situations under stress?

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