CSI for Coral Reefs:
Investigative & Enforcement Forensics Field Training Workshop
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Coral Reef CSI 4th International Tropical Marine Ecosystems Management
Symposium (ITMEMS4) - Guadeloupe December 9 – 14, 2011
WORKSHOP REGISTRATION INFORMATION:
Family Name
First Names
Citizenship
Age
Sex
Organization
Position Title
Country
Work Phone
Mobile Phone
Email
A. DIVING BACKGROUND:
_____ I am SCUBA certified and would like to attend as a participant.
_____ I am interested in attending as a non-SCUBA observer.
SCUBA Certification Agency
SCUBA Certification Level
Number of dives logged
Date of last dive
Diving Insurance Agency &
Policy #
B. PROFESSIONAL BACKGROUND:
CSI for Coral Reefs:
Investigative & Enforcement Forensics Field Training Workshop
I have formal background, or am directly involved, in the following:
Marine Injury Investigation
Coral Reef Resource Management
Ecotoxicology or Contaminants Assays
Natural Resource Enforcement: ____ Park or MPA Ranger ___ Field
Supervisor ___ Forensics Specialist
Rank: __________________________________
MPA Management
Environmental Litigation: ____ Prosecution ___ Represent Responsible
Parties
Other: __Dive unit manager , __dive operation supervisor, __Rescue diver,
__Compressor operator, or other: ________________________________
I currently work for:
Government Agency
University
NGO:
Private Company:
Other: ________________________________________________________
C. WORKSHOP SPECIAL CONCERNS:
1). Dive Gear
I will bring all my own dive gear (STRONGLY ENCOURAGED)
I need to borrow the following gear for the workshop:
Mask
Fins (Size: ______)
Booties (Size: ______)
Wetsuit (Size: ______) – If available
BC (Size: ______)
Regulator
Other: _____________________________
How much weight do you need to borrow for your weight belt: ________
CSI for Coral Reefs:
Investigative & Enforcement Forensics Field Training Workshop
2). Dietary Requirements (Note: the workshop is being held in a location with
limited abilities to offer a wide selection of meals – but we’ll do our
best….)
Vegetarian
Other Diets: _____________________________
Food Allergies: ___________________________________________
Note: Food and drinks will be available for purchase for all meals at the
workshop site.
3). Allergies & Health/Physical Conditions (please specify):
Allergies: __________________________________________________
Asthma
Heart Condition/Cardiovascular: ________________________________
Respiratory: ________________________________________________
Other: _____________________________________________________
Do you have any health issues which would be counter-indicative to safe
SCUBA diving:__________________________________
Do you have any health issues which would be counter-indicative to
participating in a rigorous field course: ____________________________
4). Room Sharing Arrangements (accommodation will be in shared rooms):
If accepted into the workshop, I have no problem sharing a room with
another participant (approximately $85 USD/night/person x 5 nights;
includes breakfasts).
If accepted into the workshop, I would prefer my own room and will
cover all of the costs for this single room myself (approximately $170
USD/night x 5 nights, includes breakfasts).
5). Other: Comments, Special Needs or Concerns (Please list):
6). Please answer the following:
a). Why specifically do you want to attend this workshop?
b). Why should we accept you over another worthy applicant?
CSI for Coral Reefs:
Investigative & Enforcement Forensics Field Training Workshop
c). Specifically, how will your participation in this workshop provide
benefits to your agency?
d). Specifically, how will your participation in this workshop provide
benefits to your country or region?
e). List one marine enforcement or contaminant issue involving the need
for an investigation in your area you would like to see discussed at
this workshop:
8). Transportation: If accepted into the workshop, you will need to be at the
ITMEMS4 conference hotel no later then late afternoon of December 8,
and would be responsible for your own return afterwards – leaving
Guadeloupe after mid-day of December 14 or later).
Not necessary, as I currently live on Guadeloupe.
I will plan going to/from Guadeloupe by AIR.
I will plan going to/from Guadeloupe by BOAT.
Other:
7). Your T-shirt: Men’s (M) ___ or Woman’s (W) ____ and also your T-shirt
size: XS ____ , S ____ , M ____ , L ____ , XL ____ , XXL _____
Note: As we can only accommodate a limited number of participants we will
carefully screen and evaluate applications. Submission of an application does
NOT guarantee acceptance to the workshop.
Application submission deadline: AS SOON AS POSSIBLE.
PLEASE ONLY SUBMIT COMPLETED APPLICATION IF YOU ARE FULLY
QUALIFIED TO ATTEND AND CAN COMMIT TO ATTENDING THE ENTIRE
WORKSHOP WITHOUT DISRUPTION.
Please email completed forms to both addresses below:
CSI for Coral Reefs:
Investigative & Enforcement Forensics Field Training Workshop
pattdf@gmail.com , gulkod001@hawaii.rr.com
We will send you a reply acknowledging receipt of your application, please
contact us directly if you do not receive a reply within 48 hours of submitting your
application.
This workshop is sponsored through the generous funding of the U.S. State
Department. The Coral Reef CSI Field Training Program is run in cooperation
with the International Coral Reef Initiative (ICRI) and through the Coral Reef
Alliance (CORAL).