ࡱ> HJG'` RVbjbjLULU;6.?.?H 8L$ LLLLL$ "hr$LL4ZLL:?,L@ *k 0 uR.%.%.%@   Application form for membership in IODP expedition scientific parties CONTACT INFORMATION (Please keep us informed of any changes in the following information) Name (first, middle, last) Institution Department Institution Address Telephone (Work) (Home) (Fax) Email Address Present Title Country of Citizenship Place of Birth Date of Birth Gender Passport No. Place Issued Date Issued Exp. Date Education (Highest degree - PhD., M.S., or B.S.) Date: Are you currently a student? (If yes, see note below) EXPEDITION INFORMATION Expeditions of Interest (please limit selection to no more than three): Expedition Number: _ Title: _ Platform: Riser Participation: Full Expedition Expedition Number: _ ______ Title: ____________________ _____________________ Platform: Riser Non-riser MSP Participation: Full Expedition Partial* Shorebased* Expedition Number: _ ______ Title: ____________________ _____________________ Platform: Riser Non-riser MSP Participation: Full Expedition Partial* Shorebased* (* provide detail of proposed participation in an accompanying letter) Reason(s) for Interest (if necessary, expand in letter) Personal and/or scientific references (name and address) Previous DSDP/ODP/IODP involvement and nature of involvement (expedition participant, shore-based participant, etc.) ATTACHMENTS 1. Attach curriculum vitae which includes a publication history Please fill out the attached "Field of Expertise" form *********************************************************** Note: Applications from graduate students include a letter from their primary advisor, documenting the student's scientific experience and detailing how participation on the cruise would fit into their graduate degree program. Staffing decisions are made in consultation with co-chief scientists and take into account nominations from partner countries; final responsibility for Japanese staffing rests at J-DESC. Please submit all application materials to: Eligibility as a Japanese participant is limited to scientists or engineers (professors, research scientists, technologists, graduate students, etc.) at a Japanese institution. Non-Japanese affiliated personnel from other IODP member countries should apply for IODP participation through their countrys national program office. FIELD OF EXPERTISE Please mark an X by your area(s) of expertise. ___ Biologist ___ Microbiologist ___ Inorganic Geochemist ___ Organic Geochemist ___ Geophysicist ___ Hydrologist Logging Scientist ___ Oceanographer ___ Paleomagnetist ___ Paleontologist (Diatom) ___ Paleontologist (Dinoflagellate) ___ Paleontologist (Foraminifer - Benthic) ___ Paleontologist (Foraminifer - Planktonic) ___ Paleontologist (Megafossil) ___ Paleontologist (Nannofossil) ___ Paleontologist (Phytoplankton) ___ Paleontologist (Radiolaria) ___ Paleontologist (Silicoflagellate) ___ Palynologist ___ Petroleum Geologist ___ Petrologist ___ Igneous Petrologist ___ Metamorphic Petrologist Physical Properties Specialist ___ Sedimentologist ___ Seismologist ___ Stratigrapic Correlator ___ Structural Geologist ___ Downhole Measurements     23EGZ[< = G H      % & + , 3 4 l m t u z { Ķرߦئߦئߦئߦߦئߦئߦߦئߦߦئߦߦߦئߦߦߦh# h#>*o( h#>*hGBh#>*CJOJQJ'hGBh^A>*CJOJPJQJnHtH h#>*CJ h#o(h#5CJo( h#5CJ h#5 h#5o(AFG= & m : # G } . 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