Longitude Volunteer Application
Full Name:
Email Address:
Citizenship:
Date of Birth (mm/dd/yyyy):
Occupation or School:
Permanent Address
Street Address:
City:
State/Province/Prefecture:
Zip/Postal Code:
Telephone (+Intl. Code):
Country:
Current Address  
Street Address:
City:
State/Province/Prefecture:
Zip/Postal Code:
Telephone (+Intl. Code):
Country:
Travel Details
Passport Number:
Passport Expiration Date:
Place of Passport Issue:
India Visa Number (if known):
Emergency Contact Name, Relationship & Telephone (home country):
Emergency Contact Name, Relationship & Telephone (current residence):
Will you be traveling with anyone else? If so, with whom?
 
1. Have you ever volunteered or been otherwise involved with any of Longitude's projects? If so, please explain.
2. What is your motivation for volunteering?
3. What qualifications, skills or past experience do you have that may be useful for the position?
4. Past travel experience:
5. Which volunteer expedition (or approximate dates) would you like to join?
6. Do you have any special dietary requirements (allergies, restrictions, etc.)? If so, please explain.

7. Do you have any medical conditions which may physically limit your involvement in a volunteer expedition? If so, please explain.
8. How did you hear about Longitude?

9. Please click the link below to download the volunteer release form. Print, complete and mail the release form to your Volunteer Group Leader.

VOLUNTEER WAVIER AND RELEASE FORM