CMDR Interest Form

The Center for Marine Debris Research is always accepting inquiries for research opportunities and laboratory experience.

Name Name First Last
Email
Phone Phone - ### - ### ####
Currently on Oahu?

Currently on Oahu? Yes No
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Education
Highest Level of Education

Highest Level of Education High School Associate's Degree Bachelor's Degree Master's Degree Doctorate/PhD Other Other
Are you a current HPU student?

Are you a current HPU student? Yes Prospective Undergrad Prospective MSMS No
University Attended / Attending:
Concentration / Major:
Experience
Skills / Abilities
Previous Relevant Volunteer / Work Experience
References
Reference #1 Name Reference #1 Name First Last
Reference #1 Phone Reference #1 Phone - ### - ### ####
Reference #1 Email
Reference #2 Name Reference #2 Name First Last
Reference #2 Phone Reference #2 Phone - ### - ### ####
Reference #2 Email
Availability
Please select the times you are available:

Please select the times you are available: Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM
Reason for Interest
I am interested in:

I am interested in: A Student Position Volunteering Employment Other Other
Please describe why you would like to be a member of CMDR
You are welcome to upload a resume or CV:

Attach Files