FutureDocs AbroadDar Es Salaam, Tanzania: July 20th - August 4th, 2024
Code of Conduct
As a reminder, you signed the following Code of Conduct Agreement as part of your enrollment:
As a student enrolled in FutureDocs Abroad, I agree to the following expectations with regard to safety and conduct.
I agree to complete to the best of my ability all aspects of the FutureDocs Abroad Program and successfully participate both as an individual and a representative of The National Leadership Academies. I agree to conduct myself in such a way that supports my own learning, and supports the learning of my peers, the teaching of physicians, and the guidance of the chaperones.
FutureDocs Abroad is an alcohol-, smoking-, and substance-abuse-free experience. I agree to refrain from use of these substances as well as any illegal substances.
I agree to not engage in any behaviors that will put my health or life at risk, such as but not limited to departing from the scheduled itinerary and tour, entering restricted areas of host medical school and medical centers, entering financial agreements with locals, inviting strangers into the program or hotel, and providing locals with personal information such as passport information, credit/debit card information (other than secure bank/vendor), home addresses, and phone numbers.
I agree to remain in the assigned hotel or dormitory room as indicated by staff. Any changes or breach of this security precaution could lead to expulsion from the program.
I agree to not solicit any FutureDocs Abroad or host university or institution’s students or staff for my own personal financial benefit.
I agree to maintain all required dress code standards as set forth by FutureDocs Abroad staff or requested by participating medical school/medical center policies. I also agree to remain with my assigned mentors, physicians, or other assigned staff at all site visit locations.
I agree to abide by the host university or institution’s standards and requirements.
I understand not complying with the above-mentioned expectations may result in dismissal from the program and return to the United States at my and my parent’s or guardian’s expense.
I agree to make FutureDocs Abroad administrators and staff aware as soon as possible of any difficulties I may encounter regarding my health, safety, finances, or any other issue that I consider serious or should be disclosed.
You must be up-to-date on all routine immunizations outlined by the CDC, including:
- Hepatitis A
- Hepatitis B
- Varicella (Chickenpox)
As a reminder, a copy of your immunization record is due by March 31st, 2024. Please reach out to your primary care physician as soon as possible to begin the process of obtaining your records.
You are required to submit proof of Typhoid vaccination in order to participate in clinical rotations at Shree Hindu Mandal Hospital. We recommend that you schedule an appointment with your primary care physician or a nearby travel clinic as soon as possible if you are not already vaccinated.
Please note that either administrative routes (intramuscular injection or oral medication) are accepted for the program. Proof of vaccination can come in the form of an International Certificate of Vaccination against Typhoid, a copy of your prescription for the orally administered Typhoid vaccine, or a copy of your routine immunization record that includes Typhoid. Proof of vaccination is due by May 31st, 2024.
Please visit the CDC website for additional information on prevention and resources for getting vaccinated against Typhoid.
You are also required to submit proof of having immunization against Malaria in order to participate in clinical rotations at Shree Hindu Mandal Hospital. Again, we highly recommend that you schedule an appointment with your primary care physician or a nearby travel clinic to get a prescription for antimalarial medication as soon as possible.
There are many effective antimalarial medications available. Certain medications are more or less effective in varying regions because of the types of Malaria species that reside there. According to the CDC website, the most effective antimalarial medications for travelers going to Tanzania are: Atovaquone-Proguanil, Doxycycline, Mefloquine, or Tafenoquine. Please note that the prominent species of Malaria in Tanzania is resistant to Chloroquine and because of this, prescriptions of Chloroquine will not be accepted as a valid form of proof in context of the program.
You must take your antimalarial medication as prescribed in order to ensure maximum effectiveness in protection against the disease. The type of antimalarial drug you are prescribed will greatly influence the ‘schedule’ in which it’s supposed to be taken. We encourage you to plan ahead by creating a reminder for yourself to take your medication on days in which you will be in-country.
The only acceptable form of proof for immunization against Malaria is a copy of an antimalarial medication prescription that clearly shows student’s first name, date of birth, and the full name of the prescribing physician. A copy of your antimalarial medication prescription must be uploaded in the Required Documents Form #3 on or before May 31st, 2024.
GETTING OR RENEWING YOUR PASSPORT
Your passport will need to be valid through February 4th, 2025 in order to enter Tanzania. Tanzanian immigration requires all passports to have at least 6 months’ validity beyond our departure date from Tanzania. Check the expiration date on your passport.
This is a VERY IMPORTANT STEP AND TIME SENSITIVE as you will need a valid passport through February 4th, 2025 in order for us to apply for your Tanzanian visa and secure your international flight.
If your passport is VALID through February 4th, 2025, take a picture of the photo page of your passport and upload it in the onboarding section as soon as possible (Required Document Form #1).
If your passport is NOT VALID through February 4th, 2025, visit the State Department website for instructions on how to renew your passport.
If you DO NOT HAVE A PASSPORT, please visit the State Department website for instructions on how to apply for a passport immediately.
NOTE: Current passport application processing times are significant even if you pay for expedited service. Please make sure you apply immediately to avoid delays. All students are required to have a valid passport book to travel to Tanzania. Passport cards are not valid for international travel to Tanzania.
Additionally, confirm that you have signed your passport on the page opposite the photo page. A U.S. passport is only valid once it is signed! If you have NOT signed your passport, use a non-ballpoint pen and make sure the ink is dry before closing your passport. We recommend that you add your contact information in pencil on the Personal Data and Contact Information page as well. If you lose your passport, this will give you the best chance of getting it back.
You must submit a copy of your passport into the student portal by December 31st, 2023.
Please inform the Admissions Team of any possible delays in obtaining your passport by emailing firstname.lastname@example.org, or by calling us at (888)986-6563.
DO YOU HAVE A FOREIGN PASSPORT?
The visa process may differ for students who hold a passport from any country other than the United States. Our Admissions Team will reach out to you directly to discuss details relevant to that process as needed. Please note that additional documentation may be requested to ensure that students are able to re-enter the US after the program.
SUBMITTING YOUR PASSPORT
As a reminder, we need your passport information in order to attain your ticket for your international flight and your visa to enter Tanzania. The photo copy of your passport ID page is provided to the Tanzanian Immigration Department and must meet the following requirements in order for your visa to be granted:
- Shows your passport as being valid for at least 6 months beyond our departure date from Tanzania: February 4th, 2025
- All of the details on your passport must be clearly legible and free from obstructions (fingers, light glares, shadows, etc…)
- All four corners of your passport ID page must be within the frame of the photo
- Your passport must be lying flat on a neutral surface
- NOTE: Scanned copies of your passport must be in color
We will reach out to you directly if your passport does NOT meet the following requirements. These are time sensitive requests and should be handled in a timely manner. If we do not receive your passport by the deadline, or if we do not hear back from you, you will risk enrollment cancellation.
ATTAINING YOUR TANZANIAN VISA
Your visa is included in the cost of tuition. We will complete all the necessary application paperwork on your behalf and submit it to the Embassy. You will receive your visa upon check-in at the airport on departure day.
In order for us to complete your application, we must receive your headshot and passport scan by December 31, 2023.
The Admissions Team will reach out to you directly if there are any problems with your visa application. You will be provided a copy of your visa upon arrival at the airport upon checking in with FutureDocs staff members.
Failure to upload your ID photo or a copy of your passport will result in you not being able to travel to Tanzania and participate in the FutureDocs Abroad program.
Domestic Travel Information
BOOKING YOUR DOMESTIC FLIGHTS
We have partnered with Atlas Travel to provide travel arrangement for FutureDocs Abroad students. An Atlas Travel Agent will use information provided via their registration form to find you a variety of flight options and make sure that you arrive to and depart from JFK within the designated arrival/departure frames. Using this service is required for all program attendees.
Click HERE to get started booking your domestic flights
Our flight to Tanzania is scheduled to depart from John F. Kennedy International Airport (JFK) in New York on July 20th at 11:20 AM EST. You must book your domestic flight to and from JFK and provide us with a copy of your trip itinerary so that we know when to expect you. Plan your travel so that you arrive at JFK by 6:30 AM EST on July 20th, 2024.
We highly encourage families to opt for an earlier flight on July 19th and plan an overnight in the New York Area to avoid potential delays impacting ones ability to attend the program.
Our flight home will arrive at JFK around 8:50 AM EST on Sunday, August 4th. We recommend that domestic flights leave between 12:00 PM-9:00 PM EST on August 4th, 2024 to ensure that students have enough time to navigate through immigration, collect their luggage at baggage claim, and check-in for their flights without fear of missing their flight. Our Admissions Team is happy to help weigh in on potential itineraries as needed – please feel free to reach out.
ARRIVAL TO JFK – JULY 20th, 2024
There will be FutureDocs Abroad staff on the ground at JFK waiting for you in Terminal 1 near the Emirates Airlines check-in area. It is crucial that you check in with the FutureDocs Abroad team upon arriving at JFK because you CANNOT check-in for our international flight without the group. Specific instructions for navigating to the group check-in area will be provided to students using our WhatsApp group chat the day before travel.
After you have picked up your luggage from baggage claim, you will need to follow the signs to the air train which will take you to Terminal 1. Upon arrival into Terminal 1, follow the signs to international check in and locate the Emirates Airlines check-in desk. Please check-in with a FutureDocs Abroad team member and await further instruction.
If you are unable to find the group meeting point after exiting your domestic flight, please send a message in the WhatsApp group chat notifying staff members that you have arrived and are having trouble finding the group. A member of our staff team will call you and meet you where you are in the airport.
You will be provided with a neck wallet/name badge, your Tanzanian visa, and international health insurance card upon checking in with FutureDocs Abroad staff. Note that your name badge must be worn at ALL TIMES throughout the program. Depending on what time your domestic flight lands, you may be waiting outside of security for awhile. This serves as an opportunity to get to know your chaperones and peers! If you are driving into JFK, follow signs to Terminal 1 – International Departures. Drop off between 5:00 AM – 6:30 AM EST.
Our group will begin moving through the Emirates Airlines check-in line at approximately 8:00 AM on July 20th. NOTE: The group will not wait for individuals unless we are aware of delays.
Special notes to remember for flying to JFK:
- The night before you travel, check online flight departures for any delays on your domestic travel from your hometown.
- The morning of your flight, check again for any delays. Apps like flighttracker.com can be used to check delays or you can type your airline and flight number into Google.
- If you have any issues at all with your travel plans or disruptions, please call us immediately so we can put the appropriate measures in place ahead of time. (We will provide you with the emergency number closer to program lift-off)
- Once you arrive at JFK remember to pick up all of your luggage at the baggage claim before heading to the group meeting point! Terminal 1, Emirates Airlines. Your baggage will NOT automatically check through for our international flight.
- If your baggage is lost or delayed upon arrival into JFK airport, please call the Admissions Team to inform us. We will give you instructions based on connection time for our international flight.
FDA Policy on Missed Connections
FDA will assign one staff member to oversee your wellbeing and ensure you make your rescheduled flight if you miss your connection. If you miss your international flight on departure day, you will be rescheduled on the next available flight to the host country. If you miss your domestic flight home on arrivals day, or if your flight is canceled, you are responsible for organizing your travel arrangements home.
You will be responsible for all expenses incurred as a contingency, including:
- Additional airline fees, change fees, agent fees, and baggage fees for yourself
- Meals for yourself
- Overnight accommodations for yourself, if necessary
- Transportation costs, if necessary
We strongly recommend that you purchase travel insurance for peace of mind and to safeguard against unexpected trip interruptions.
International Travel Information
INTERNATIONAL FLIGHT DETAILS
The group flight to Tanzania is on Emirates Airlines and is scheduled to depart from John F. Kennedy International Airport (JFK) in New York on July 20th at 11:20 AM local time. The group will fly from John F. Kennedy Airport (JFK) to Dubai International Airport (DXB) in Dubai, United Arab Emirates (about 12.5 hours). There is a 2 hour layover in Dubai, followed by a roughly 5.5 hour flight into Julius Nyerere International Airport (DAR). Further information on the outbound flight can be referenced below:
- Airline: Emirates Airlines
- Departure Airport: John F. Kennedy International Airport (JFK)
- Departure Time: Saturday, July 20 @ 11:20 AM (EST)
- Arrival Airport: Julius Nyerere International Airport (DAR)
- Arrival Time: Sunday, July 21 @ 1:55 PM (EAT)
- Flight Numbers: EK204, EK725
- Route: New York (JFK) → Dubai (DXB) → Dar es Salaam (DAR)
The group will mirror the outbound flight path on the way home; going from Dar es Salaam to Dubai, then Dubai to New York. The inbound flight will return to the United States at about 8:50 AM on August 4th. Further information on the group’s inbound flight can be referenced below:
- Airline: Emirates Airlines
- Departure Airport: Julius Nyerere International Airport (DAR)
- Departure Time: Saturday, August 3rd @ 3:25 PM (EAT)
- Arrival Airport: John F. Kennedy International Airport (JFK)
- Arrival Time: Sunday, August 4th @ 8:50 AM (EST)
- Flight Numbers: EK726, EK203
- Route: Dar es Salaam (DAR) → Dubai (DXB) → New York (JFK)
AIRLINE BAGGAGE POLICY
Please visit the Emirates Airlines Website for baggage policies.
NOTE: All students will be traveling in economy class. Checked baggage in excess of the airline’s free checked baggage allowance, and any domestic airline baggage fees, are not included in the program tuition cost and are the responsibility of the student. It is advisable to bring only 1 carry-on bag and 1 checked bag. The savvy traveler will restrict luggage to one carry-on bag and one checked bag to limit the possibility of lost items.
PASSPORT CONTROL AND IMMIGRATION
The information below is to prepare you for the arrival process into Dar es Salaam, Tanzania. Be sure to read through this very carefully.
In preparation to go through Passport Control, make sure you have:
- Your passport in hand
- Your visa (provided to you at JFK)
- Your boarding passes
There are two different types of entry. One is strictly for Local Passport Holders and the second is for All Passport Holders. Please make sure you queue in a line for All Passport Holders.
Once you reach the front of the Passport Control line, you will speak to an agent. The agent may ask questions about the purpose of your visit. Below are some possible questions and suggestions for how to answer them.
Q. How long are you here for? A. Two weeks.
Q. What are you doing? A. An educational program at Shree Hindu Mandal Hospital.
Q. Where are you staying? A. A hotel in City Center.
The immigration officer will stamp your passport and hand it back to you along with your Tanzanian visa. Keep your visa inside your passport and place it in your travel wallet for safekeeping.
Once through Passport Control, you will be directed by a chaperone to the baggage claim hall.
Dar es Salaam International baggage claim is a small hall consisting of 5 carousels. A chaperone will guide students to the correct baggage carousel, where you will need to watch for your luggage to arrive.
It is strongly advised that you place an easily identifiable ribbon or luggage strap/tag on your luggage so you recognize your suitcase as it arrives on the carousel. Most importantly the luggage tag should have your name and address clearly written on it. Another slick trick for travelers is to place a label on top of all your belongings inside your bag should the luggage tag fall off in transit.
Once all students have collected their luggage, we will walk to the Customs area together.
Each person will go through Customs individually with their own luggage. When you pass through Customs, individuals will be chosen at random to place their luggage onto the scanner belt to be screened.
A customs officer may ask to inspect your luggage and ask if you have firearms, drugs, certain electronics, and other items that are not allowed or cannot be imported duty-free.
If you are selected for the inspection, don’t worry. The additional screening is a simple procedure and designed to keep everyone safe. Just be ready to answer a few questions and run through a brief inspection.
A chaperone will be on hand at all times should any student need assistance.
A few notes on Tanzanian Customs and Immigration to prepare you before travel:
- All prescription medications in your luggage must be labeled in it’s original bottle and packed in a clear plastic bag.
- Liquids in your carry-on bag must be under 3.4 oz per container.
Shared below is a basic packing list for FutureDocs Abroad. Keep in mind this list is intended to provide basic guidance for essentials. This does not necessarily include every item that you may personally require.
- Phone charger and chargers for any other electronics
- Small notebook
- Entertainment for the plane ride (headphones, phone, playing cards, book, etc…)
- Empty reusable water bottle (you’ll need to fill it up after you get through airport security)
- Tanzanian adaptor and power converter
- Earplugs and eye mask
- A change of clothes for 2-3 days – It is very important to include a change of clothes that will be appropriate for Orientation and the Opening Ceremony (refer to Dress Code section) in your carry-on. In the event that your hold luggage is lost in transit, you will need to be prepared for the first couple of days of the program. Lost luggage normally takes between 1 to 3 days to be returned.
- Prescription medications**
- 5-6 sets of scrubs for rotations. Packing 5-6 sets of scrubs (and planning to do laundry once or twice) should cover the trip
- 1-2 white full-length lab jacket(s). Short sleeved lab jackets are acceptable
- 2 business casual outfits and appropriate footwear for orientation and the closing ceremony at the university.
- MEN: Trousers/khakis and collared shirts
- WOMEN: Knee-length dresses or skirts, trousers, collared shirts, blouses
- NOTE: No jeans, shorts, or athletic wear
- Clean, comfortable, closed-toe shoes for rotations (sneakers are fine as long as they are clean)
- Clothing for Safari tour – Please refer to Dress Code section below for appropriate guidelines
- Pajamas/sweats for your overnight accommodations
- Travel outfits (2-3 recommended)
- Compression socks for travel. NOTE: Many students and staff experience swelling in their legs/ankles/feet while traveling to and from Tanzania. It is highly recommended that you wear compression socks, drink lots of water, and stretch throughout the airplane ride.
- Socks and undergarments
- Bathing suit & towel if you wish to use the hotel pool.
- Toothbrush and toothpaste
- Shampoo and conditioner
- Body wash or soap
- Small first aid kit
- If needed, glasses/contacts, contact case and solution
- Bug spray
- Surgical masks (2 week supply)
- Ladies, please be mindful that feminine hygiene items are difficult to come by in brands and styles you might be comfortable with. Be sure to pack these items with you if you’ll need them on our trip.
- Advil, Midol, Imodium, Vitamin C, Hydration tablets/packs ….to name a few of the most common items
Below you will find a breakdown of our various activities and the dress code for each.
It is important to keep in mind that Tanzanian people dress conservatively, and visitors should do the same. Men and women should keep their shoulders covered and shorts should always be knee length. The only time when this note is not applicable is on travel days, and our mid-program rest day.
Travel to and from Tanzania:
Ultimately, comfort plays a large part in making long-haul flights pleasurable. Always wear comfortable clothes, and this includes your travel shoes.
- Wear layers – You will need pieces that you can easily take off or put on to help you combat the varying temperatures you encounter throughout your journey.
- Wear something that you can keep on for the next 24 hours – travel time to Tanzania including your domestic travel will be at least 24 hours.
- Wear clothes that don’t restrict you.
- Wear natural, breathable fabrics.
- Wear compression socks and comfortable footwear.
Opening and Closing Ceremonies:
This will be your first and last impression when greeting and saying goodbye to your Tanzanian hosts at Shree Hindu Mandal Hospital. Dress to impress with a business casual outfit
Ladies: Plan on wearing dresses/trousers/knee-length skirts and shirts with a collar or blouses, and comfortable shoes
Gentlemen: Wear trousers/khakis and collared shirts, and comfortable shoes
NOTE: Absolutely NO athletic wear, NO jeans, and NO shorts.
Rotations at Clinical Facilities:
Students will be asked to wear scrubs, a long white lab coat, and surgical masks for all sessions at the hospital and medical facilities.
- Scrubs can be any color/pattern/short sleeve/long sleeve
- Lab jackets are required for most rotations (Short sleeve if possible as it is very hot)
- Comfortable/clean footwear – You will be on your feet for long periods of time so comfortable, closed-toe, clean shoes. Sneakers are permitted for rotations in the hospital but must be clean.
A full safari day is planned at Mikumi National Park. Keep in mind that Tanzanian people dress conservatively, and visitors should do the same. Men and women should keep their shoulders covered and shorts should always be knee length. Another factor to keep in mind is the weather. It will be incredibly hot and humid, so light, natural fabrics like cotton are advisable.
- Wear comfortable/breathable casual clothes (shoulders must be covered and shorts should be knee-length)
- Wear comfortable shoes (sneakers are a great option)
- Bring a sunhat
- Wear sunscreen
- Bring bug spray
- Bring binoculars
- Bring several travel sized packs of tissues (toilet paper can be scarce in remote areas)
You are welcome to kick back and relax in whatever clothes are most comfortable for you. If you plan on spending time at the pool, be sure to pack a swimsuit.
Specific details regarding our accommodations will be located here soon!
Meals and Water
Breakfast and dinner will be provided at the hotel. A large selection of food will be available including authentic Tanzanian fare, along with a variety of American classics. A lunch buffet will be provided at the clinical facilities.
Meals will also be provided on off-campus activity days and will include lunches in local restaurants depending on the location of activities.
It is important to remember that we will be situated on the other side of the world for this incredible two-week adventure. Most of our meals will be provided in the hotel, however, it is a huge part of cultural immersion to understand that the culinary delights will be very different from home. It is important to come with an open mind and embrace the culinary diversity of our host country.
Meals are not provided during travel with the exception of the meals and snacks the airline provides. Although this may differ from airline to airline or route taken, generally, two meals and soft drinks, water, and coffee will be provided on the long-haul section of your journey. A snack may be provided on the connecting flights to Tanzania. If you would like to purchase additional snacks in the departure or connecting airport, it is advisable to carry a widely accepted bank card (Visa or Mastercard) to make purchases in the airports easily.
Be sure you have indicated any special dietary requirements on the medical history form so we can be sure to not only prep the chef ahead of your arrival, but also pre-request any special requirements for meals that may be provided on your long-haul flight to Tanzania. If you have any concerns, please reach out to the Admissions Team.
Tanzanian tap water is not safe to drink, or brush your teeth with. Only drink and brush your teeth from bottled water during the program. One bottle of water is provided within the hotel room daily per person. Bottled water is easily accessible in local convenience stores either within the hotel or right across the road. Chaperones will be organizing trips to the local convenience store as needed.
It is strongly advisable not to digest the ice while in Tanzania. Ice is generally produced from tap water. Small fridges are located in all hotel rooms to refrigerate drinks.
The voltage supplied in electrical outlets, as well as the outlet type, varies in countries throughout the world, so in order to charge your devices when you visit another country, it’s important to check the voltage and outlet requirements of your host country.
- You will need an adaptor for all electrical devices as the sockets in Tanzania are different
- The standard voltage is 230 V in Tanzania. This is different than the standard voltage of 120 V in the US
- The power outlet frequency differs in Tanzania at 50 Hz compared to the U.S. at 60 Hz
Be warned! Be especially careful with moving, rotating and time related appliances like clocks, shavers, hairdryers, and hair straightening devices to list a few. You will not be able to use these electrical appliances in Tanzania without an adaptor and converter.
INTERNATIONAL CELL PHONE USE
In all likelihood, your cell phone plan does not accommodate international texting, calling or data use. If you use these functions while traveling abroad, you will likely rack up a huge roaming bill – possibly in the thousands of dollars. To ensure this doesn’t happen, be sure to turn off your cellular data and put your phone in airplane mode before we depart on our international flight. You will still be able to connect to Wi-Fi where available while on airplane mode. It’s safest to leave your phone in airplane mode for the duration of the trip, and only use Wi-Fi for internet access, in order to avoid a surprise phone bill when you get back.
Local sim cards are available to purchase from the airport or local convenience stores with unlimited data and free local texts and calling for a 30-day period. Cost depends on the provider, but most local sims range between $5-$15. If you plan to utilize this option, you may want to check your phone is unlocked and available to be used by alternative carriers before you depart from the U.S.
Alternatively, you can explore options with your cell service provider for international travel plans. Most cell service providers offer a daily or monthly plan ranging from $5-$20 per day for international travel. Be sure to explore all the limitations before traveling.
Currency and Payment
Tuition includes all program costs, international airfare, accommodations, local in-country transportation, and meals, including breakfast, lunch, and dinner while on location. Please note that meals are not provided during travel to and from our host destination, with the exception of meals provided by the airline.
Students may want to bring pocket money for their own personal expenses, shopping, personal care items, souvenirs, snacks, etc. ($100-$300 should be more than adequate). In advance of your trip to Tanzania, we recommend you decide on how you will pay for personal expenses while abroad. You may choose to carry a credit card, withdraw Tanzanian Shilling using an ATM card, bring U.S. dollars to exchange, or some combination of these options.
Visa and Mastercard are widely accepted in Tanzania; Discover and American Express are rarely accepted. If you plan to use a credit card while in Tanzania, be sure to ask your credit card company about their international transaction fees and alert them of your international travel plans beforehand to avoid security holds. Check the expiration date on your credit/debit cards and make a separate note in a safe place of their numbers and the service number on the back of the card.
NOTE: We highly encourage students to withdraw Tanzanian Shilling from a nearby ATM instead of exchanging physical U.S. Dollar bills. Bills must be in mint condition in order to be accepted for exchange (free from ANY wrinkles, stains, creases, writing, tears, etc…).