New Zealand IODP Office
Application to participate in an IODP Expedition – Science Team
(mark ‘x’ in grey boxes, as appropriate)
1. Contact Information
First and Middle Names
Surname
Title/Position
Institution
Department
Address 1
Address 2
City
Phone:
Home:
Work:
Fax:
Email address
Citizenship
Place of Birth
Date of Birth
Gender
Passport Number
Place of Issue
Date of Issue
/
/
Education (highest
degree)
Are you a student?
Expected Graduation date
2. Expedition Information
Expedition of interest
(Title/Platform, 1st
preference)
Expedition of interest
(Title/Platform, 1st
preference)
Referees (2-3 names and
addresses)
Postcode/Zip
dd/ mm / yyyy
Male
Female
Expiry Date
/
/
Date
Yes
No
Previous DSDP/ODP/IODP
involvement (expedition
participant, shore-based
participant, etc)
Field of Expertise (mark ‘x’ in appropriate boxes)
Biology
Paleontology (Macrofossils)
Microbiology
Paleontology (Nannofossils)
Inorganic Geochemistry
Paleontology (Radiolaria)
Organic Geochemistry
Paleontology (Silicoflagellates)
Geophysics
Paleontology (Other)
Hydrogeology
Palynology
Hydrology
Petroleum Geology
Lithostratigraphy
Petrology
Logging
Igneous Petrology
Log-Seismic Interpretation
Metamorphic Petrology
Oceanography
Physical Properties
Paleomagnetism
Sedimentology
Paleontology (Diatoms)
Seismology
Paleontology (Dinoflagellates)
Stratigraphic Correlation
Paleontology (Foraminifera Structural Geology
Benthic)
Paleontology (Foraminifera –
Downhole Measurements
Planktonic)
3. Attachments
These documents must be submitted with this application
1. Participation Plan and Budget
2. Curriculum Vitae including selected publications (maximum of two pages)
Are you willing to provide any or all the below information?
Yes
Disability Status:
Hearing Impairment
(select one or more)
Visual Impairment
Mobility/Orthopedic
Impairment
Other
None
No
After you have completed the form, save as a MS Word (.doc) or Rich Text (.rtf) document
and email as an attachment with additional documentation to nzodp@gns.cri.nz