Bridges
Projects in Rational Tourism Development
Application Form for Spring 2003 "Bridges to Rolwaling" Expedition

I. Personal Data and Contact Information

______________________________    ________________________________________ 
             Family Name                              Given Name(s)

_________________________________     
           Nationality
Sex (circle one): M F       Date of Birth: ___/___/___ (DD/MM/YY)

Telephone: ______________________ Email: ______________________

Full Address (Street, Number, Apt.; City, State/Province, Postal Code; Country):

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II. Educational Background

Most recent or current institution: 


Field, degree and date of completion: 


Other institution (if applicable):


Field, degree and date of completion: 

III. Professional Experience (if applicable)

Most recent or current employer: 


Position: 


Prior employer: 


Position: 

IV. Project Choice (to be completed on a separate sheet)

Please choose two of the proposed projects listed on our Website; or, choose one, and submit a proposal for a second project. In a few sentences, explain your interest in these projects, and, if applicable, any skills or experience that might prepare you for them.

Applicant's signature: ____________________ Date: ________

Print this form and mail it, along with a check for $25 payable to Bridges-PRTD, to:

Bridges-PRTD
219 W. Spencer St. #3
Ithaca, NY 14850
USA