Booking a place as a Research Assistant or Dissertation/Thesis Volunteer (US)

Download the booking form - (Word), (pdf)


  
 
Name Sex
(Full name as it appears on your passport)
University/College Date of Birth

Home Address (Please include city and state) University Term Address (Please include city and state)
Home ZIP Code University Term ZIP Code
Home Tel./Cellphone Telephone number
Email Email

Nationality Country of Expedition
(for possible visa implications)
Length of Expedition Start date of expedition in-country

Proposed Itinerary
Week number Option number or title
1
2
3
4
5
6
7
8
Although this is your proposed itinerary, please bear in mind that logistics in the field, in such
a remote part of the world, may require certain aspects of your itinerary to be changed at any time.

Reason you are joining the research program (Senior/Honors Thesis, Field Internship, Independent Research Study, Research Assistant, Other)

By ticking this box, you acknowledge that you have read and understood the booking conditions, and accept them.     Name
Date