Student and YP Volunteer Application - GTW Suriname 2019
6-7 November 2019
Hotel Torarica | Rietbergplein 1 | Paramaribo, Suriname
For more information visit our website: http://bit.ly/gtwsuriname
After submitting the form you will receive a link to your email address allowing you to edit your responses in case you are unable to complete the entire form at once. Remember the deadline complete and submit the form is Thursday, October 31, at 2:00 pm Suriname time.
In case your application is accepted, please note that the Student/YP volunteer registration fee is USD $30.
Email address*
Name*
Last Name/Family Name*
Name for Name Badge*
Please write your Full Name (Name and Last Name) as you prefer it to be written on your name tag, in case your application is accepted.
Phone Number*
Country Code + Area Code Phone Number
Country*

SECTION 1: PROFESSIONAL INFORMATION
University Name*
Enter your university information, either if you are currently a student or have already graduated.
University Country*
Enter your university information, either if you are currently a student or have already graduated.
Are you currently employed?*
Yes No
If yes, please enter the name of your company
Faculty or Work Contact - Name*
Please include the name of a faculty member or work superior who can speak to your performance at school/work.
Faculty or Work Contact - Email*
Please include the email address of the faculty member or work superior who can speak to your performance at school/work.

SECTION 2: EDUCATIONAL INFORMATION
Field of Study (Major)*
Level of Study: Completed or Current (if enrolled as a student)*
Undergraduate Graduate Ph.D
Semester/year of Study
If currently enrolled as a student.
Graduation Date - Year*
Please enter the year in which you graduated or expect to graduate.

SECTION 4: QUESTIONS
Describe your involvement with AAPG and your chapter.*
Answers lenght: 500 characters maximum.
What are your professional career goals after graduation or in the short/medium term?*
Answers lenght: 500 characters maximum.
How will participating in GTW Suriname 2019 benefit your studies and/or help you reach those career goals?*
Answers lenght: 500 characters maximum.

Agreement (please choose yes or no)*

	Yes	No
I certify that I am unable to obtain university or company support for my full workshop registration.
I understand that the Student/YP registration fee is USD $30. In case my application is accepted I commit to arrange the payment process with AAPG staff.
I commit to serve as a volunteer at the eventand to assist with registration or any other logistical tasks assigned to me.
I commit to arriving at 7:30 a.m. on Wednesday, November 6 so that I can attend a brief orientation for Student/YP volunteers.
I will provide my own transportation and lodging, if needed.
I understand filling out this form does not guarantee I will have a spot as a volunteer. I will need to wait for a written confirmation by email.

TERMS OF ACCEPTANCE AND SIGNATURE
I, the applicant, certify the truthfulness of the information provided in this form.
Electronic Signature*
Please type your First and Last Name
*
I understand that checking this box constitutes a signature confirming my acceptance of the Agreement.
Done!
Remember to save the link that you will receive in your email after submitting the form. Following the link will give you the opportunity to edit responses up until the deadline on 31 October, 2:00 pm Suriname time.
Should be Empty:

Student and YP Volunteer Application - GTW Suriname 2019

TERMS OF ACCEPTANCE AND SIGNATURE