Volunteer and Scholarship Program

APPLICATION FORM

VOLUNTEER AND SCHOLARSHIP PROGRAM

(Please attach all required documentation)

Date:

/
Project description:
I. PERSONAL INFORMATION
Last name: / First name:
Date of birth: / Country:
Passport/ ID No.: / Nationality:
Native language: / Other languages:
Address: / Marital Status: / Blood type:
City: / Phone number:
Email:
Emergency contacts (Relationship, Phone number)
1.
2.

II. ACADEMIC INFORMATION

University: / Graduation year:
Major: / Academic status:
Address:
City: / Phone number:

III. WORK EXPERIENCE

Job experience:
Research experience:
Experience in Galápagos:
Future plans:

IV. PROJECTS WHERE YOU WOULD LIKE TO PARTICIPATE

Please number your interest from 1 to 3, being 1 the preferred project.

Administration and Finances / Sciences
_____ Accounting / _____ Marine invasive species
_____ Purchasing and acquisitions / _____ Seamounts
_____ Logistics / _____ Sharks
_____ Information Technology (IT) / _____ Fisheries
Management Services / _____ Phlilornis Downsi
_____ Hospitality / _____ Terrestrial birds
_____ Human talent / _____ Marine birds
_____ Volunteer and scholarship / _____ Galápagos verde 2050
_____ Exhibition Hall / _____ Collections
Executive Management / _____ Laboratories
_____ Communication / _____ Ecological Restoration
_____ Fundraising / _____ Entomology
_____ Public relations / _____ Vegetation mapping

V. ABILITIES (Please mark with an X)

_____ Field survival / _____ Photography
_____ Mountain climbing / _____ First aid
_____ Scuba diving / _____ Radio handling (VHF)
_____ Audio-visual equipment / _____ Design and drawing
_____ Operation/maintenance of out-board engines / _____ Computing (*specify computer programs) Windows Office (Word, Excel, Power Point), Adobe Photo Shop, Adobe Illustrator, Flash, Corel Draw, etc.
_____ Sailing / _____ Swimming
_____ Drivers license / _____ Others (specify):
VI. OTHER
Why do you want to be a volunteer in Galapagos?
How long would you like to stay in Galapagos? Indicate the time frame during which you will be available.
Name, address and email of reference:

VII. DOCUMENTS TO BE ATTACHED TO THE APPLICATION FORM

1.Application form with a photo.
2.A cover letter stating your precise interest and skills
3.A Curriculum Vitae, including a contact e-mail address
4.Physical and psychological certificates to confirm that you are suited to undertake the various field work activities that projects demand.
5.One letter of recommendation with a contact email address
6.Copy of any university degree