HI-SEAS Crew Member Application
Thank you for your interest in applying for HI-SEAS! Please fill in this form. When you reach the end, you will be shown a link that should allow you to edit your application. We will review the most recent version submitted before the deadline. We recommend that you compose your responses in a text editor, and then cut-and-paste them into this form, so that nothing will be lost if there is a problem with the form.
Full Name: *
Your answer
Mission Availability: *
Are you available for Mission 5 (eight months, starting January 2017) and/or Mission 6 (eight months, starting January 2018)?
Required
Mailing Address: *
Your answer
Email Address: *
Your answer
Ethnic or racial self-identification (optional):
Your answer
Is there any particular food or drink that you cannot or will not consume for medical, ethical, religious, cultural or other reasons? *
If the answer above is yes, please describe the dietary restrictions you observe.
Your answer
Height (m): *
Your answer
Weight (kg): *
Your answer
Sex: *
Your answer
Age: *
Your answer
Visual acuity (corrected): *
Your answer
Blood pressure: *
Your answer
As far as you know, do you have a normal sense of taste? *
As far as you know, do you have a normal sense of smell? *
Have you ever used tobacco? *
If the answer above is yes, give the most recent date (approximately) of tobacco use.
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