PERSONAL DETAILS

Today's Date *

Full Name *

Email *

Phone *

Date of birth

Age

Gender

Citizenship

Passport/ID Number

Health Insurance Company & Policy Number

For what dates are you applying?

Contact in case of emergency

TELL US WHAT YOU’RE ABOUT:

Please list institutions beginning with most recent. Include name and city.

Educational Background.

How did you develop a curiosity for a Sustainable/Alternative Living Program? What most interests you about this way of life? What do you hope to gain from your participation in the Mentoring/Apprenticeship process?  Interest and Experience.

List at least a few significant travel experiences. Please include the dates, purpose, and length of trip.Significant travel experiences.

For all the languages you know, please indicate your level of speaking, reading, and listening comprehension for each (0-no previous knowledge, 1-poor, 2-fair, 3- conversational, 4-excellent, 5-fluent/native language). Languages

Please list relevant coursework you have completed (biology, ecology, entomology, natural history, geography, language etc.)  Relevant coursework

5) Please describe the most remote / rustic living conditions that you have experienced. (a) What were the benefits of living in that situation? (b) What were the challenges? Living conditions

Describe your thoughts when you were immersed in a new culture for the first time. Please be specific. (a) Did your perception of that culture change over time? (b) If so, how? If not, why?New culture

Describe the most successful or interesting research project or field activity in ecology, biology, sustainable development, natural resource management, agricultural management, and/or conservation you have led or participated in. Include your role, responsibilities, duration and lessons learned.Research project or field activity

Describe the most enriching educational project or activity that you have participated in as a leader. Include your role, responsibilities, duration and lessons learned.Educational project

Describe a specific situation in which you had to handle a difficult person, customer, or client. Were you satisfied with how you handled the situation?Handling a difficult situation

Please list your short and long term goals; include briefly how you plan to achieve them. Goals

Hobbies / Vocational / Talents:

What are your special interests, talents, and/or hobbies? Special interests

Have you done any hiking, camping, climbing, spotting, or other outdoor activities? Please briefly, a few, describe.Outdoor activities

What sports, if any, do you play? Sports

Rate your swimming ability Swimming

Is there anything else you would like to tell us about yourself?Tell us about yourself

Health

How would you rate your overall health? Do you have any chronic illnesses?Health

How would you rate your fitness and stamina? Fitness & Stamina

Do you have any allergies (medicines, insect stings, food, etc)? If yes, please explain.Allergies

Are there any foods that you cannot or will not eat? If yes, please explain.Food

Do you require any medications on a regular basis? If yes, please explain.Medication