Volunteer in the Honduran Caribbean with Utila Centre for Marine Ecology conservation, ecology & development projects: dolphins, whale sharks, coral reefs, fisheries, mangroves, seagrass, scuba diving

	Supporting the management and sustainable use of marine biodiversity in Honduras Photos by George Stoyle	Apply \| Links \| Contact

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Volunteer Application Form

To volunteer at UCME please complete the following application form. Alternatively you can download a PDF version of this form and send it via email to or post to UCME UK Office, Sherborne, Petworth Road, Witley, Surrey, GU8 5LP, UK.

Fields marked with * are required

Personal Information
First Name:
Last Name:
Address Line 1:
Address Line 2:
Town/City:
County/State:
Country:
Post/Zip Code:
Email:
Home Phone:
Mobile Phone:
Date of Birth:
Passport Number:
Occupation:
Emergency Contact Information
First Name:
Last Name:
Relationship:
Home Phone:
Mobile Phone:
Email:
Programme Information
Programme:
Start Date:
SCUBA Training Required:	Yes No
SCUBA Level Required:	Open Water Advanced Open Water None
Current Dive Qualification:
Number of Logged Dives:
Special Requirements:
Insurance Information
Insurance Company:
Includes SCUBA Policy?	Yes No
Policy Number:
Insurance Telephone:
Max. Medical Cover:
Payment Details
If you are applying more than 8 weeks prior to departure, a deposit of £150 is required with this completed application form. If you are applying within 8 weeks of departure, payment in full is required. After submitting this form you will be contacted with details of how to pay.
Declaration
It is essential that you read the terms and conditions. By selecting the checkbox below you confirm that you have read the terms and conditions that apply to the Utila Centre for Marine Ecology’s volunteer programme and agree to be bound by them. I confirm I have read terms and conditions and agree to be bound by them
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Utila Centre for Marine Ecology, East Harbour, Utila, Honduras | | +5044253026
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