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Bioko Biodiversity Protection Program

Application for January 2011 Caldera Expedition

Annual Census of Diurnal Primates in the Gran Caldera, Bioko Island, Equatorial Guinea.

If you do not hear from us within one week of submitting this application, contact us to make sure that the application made it to us successfully. It may also be a good idea to save the contents of your longer answers in case you need to resubmit later.

Due: September 30, 2010.

Fields with an * are required.

Basic Information
Name*:
(as it appears on your passport)
E-mail*:
Cell phone*:
University/Employer:
Year:
Country of Citizenship*:
Passport Number*:
Age*:
Sex*: MaleFemale
Fall Address
(Where you can be reached September - December)
1st Line of Address*:
2nd Line of Address*:
3rd Line of Address:
Fall Home Telephone:
Holiday Address
(Where you can be reached during the late December holidays immediately before the trip.)
My holiday address is the same as my fall address.
1st Line of Address:
2nd Line of Address:
3rd Line of Address:
Holiday Home Telephone:
When do you move from your fall address to your holiday address?
References
Please provide two references who are familiar with your academic and/or professional work. (This application will automatically send e-mails to your references.)
First Reference Name*:
Position*:
Email*:
Telephone*:
Second Reference Name*:
Position*:
Email*:
Telephone*:
Short Answers
1. Have you taken any coursework that would be relevant to the expedition (i.e. Biology )?*
2. Do you speak any Spanish?*
3. How did you get interested in the expedition and what are your motivations for doing it?*
4. Please provide a brief biography of yourself which will be supplied to the other participants if you go on the trip.*
Example (but you can be more creative): John is a 22-year-old senior at Big State University, majoring in biology. He graduated from Little Pine High School in Little Pine Tree, Kansas, and came to Big State after two years at Little Pine College. He now lives in Philadelphia with his two younger sisters (Carla 15 and Concetta 12), his mom and his stepfather. He heard about the trip from one of the students (Vickie Gowat) who went three years ago. Although he plans on a career in corporate finance, John expects the trip to be an enlightening experience.
Optional comments: