Culebra Leatherback Project

Please print and complete the attached form and return to

CRESLI, Division of Natural Sciences and Mathematics, Kramer Science Center, Dowling College, Oakdale, NY 11769-1999

Participant Application

First Name: Middle: Last Name:

Street Address (1)

Street Address(2)

Postal Code/Zip:

City: 

State or Province:

Country:

Phone:

Email:

Language Ability:

Previous experience:

Week(s) desired:

Month(s) desired:

Are you willing to share a room with a person of the opposite sex? Please check: YES NO

Relevant Medical Conditions:

Relevant Dietary Requirements:

Areas of Interest (circle those that apply)

This is an active research project and your participation will be in all areas of the research associated with the project. It will also involve a great deal of physical activity and good health is important. All participants will be initially given orientation training that is required for participation in the Culebra Project.

You will be flying into San Juan, please provide your arrival and flight information to the Project Coordinator so that arrangements can be made for your transport to the Island.