|
For best results, when filling out the application, please use the Internet Explorer
|
| | | |
Contact |
| First Name * |
|
|
| Last Name * |
|
|
| Street Address * |
|
|
| City * |
|
|
| State |
(if inside the US) |
| Province |
(if outside the US) |
| Zip Code |
|
|
| Country * |
|
|
| Phone |
|
|
| Email * |
|
|
| Organization |
|
|
Identify your GIS Software Expertise
(hold Ctrl key to select multiple items) |
Do you have expertise in Open Source software?
|
If yes, please indicate the software type.
|
Do you have expertise in Remote Sensing software?
|
If yes, please indicate the software type
|
Do you have expertise with GPS technology?
|
If yes, please include more detail
|
| For which type of missions would you be interested in serving(type)? |
|
|
| For which type of missions would you be interested in serving(location)? |
|
|
| For which of the following would you consider volunteering? |
|
|
Would you be interested in volunteering for the GISCorps K-12 project -- assisting the K-12 community in your region?
|
If yes, please specify details
|
|
Employment |
| Years of GIS Experience * |
|
|
| Current Employer * |
|
|
| Job Title * |
|
|
| Years with Current Employer * |
|
|
| Type of Company * |
|
|
| Volunteer Period * |
|
|
Attach Your Resume
(PDF Upload or Web URL)
Need a free PDF Printer? |
PDF Upload *:
|
Web URL:
(i.e. http://www.yourresume.com) |
|
Education & Specialization |
Your Highest Degree(s) *
|
Your Areas of Specialty *
(please select your top 4, hold Ctrl key to select multiple items) |
Have you ever conducted a GIS Training Class?
|
If yes, please describe
|
Are you authorized to teach any GIS software programs?
|
If yes, please specify
|
Have you ever done volunteer work?
|
If yes, please specify the type of work, country, and duration
|
Have you ever done GIS related volunteer work?
|
If yes, please specify the type of work, country, and duration
|
Have you ever traveled to developing countries?
|
If yes, how would you describe your experience?
|
| Your Primary Language * |
|
|
| Second Language |
|
|
| Third Language |
|
|
| Fourth Language |
|
|
| Are you a member of URISA? |
|
|
| Are you a GISP? |
|
|
| Additional Comments |
|
|
|
Statistics |
| What is your mother country? |
|
|
| Does your company allow leave of absence? |
|
|
| How did you hear about GISCorps? |
|
|
| What time zone are you located in? * |
|
|
| What kind of internet connection are you running? |
|
|
| Desired Password * |
|
|
(You must agree to the GISCorps General Policies and Code of Conduct before proceeding) |
|
|