Contact Database

Password
(twice) Minimum 5 characters, please.

Name:

First and Last (or Name of Organization)

Address:

Complete address including City, State (Province) and Zip

Country:

Telephone Numbers:

Provide work (W), (H), cell/mobile (M), and fax (F) numbers

EWB-International Group Affiliation (if any):

Highest Degree and Major:

Current Employer and Position:

Engineering Expertise:

This is the expertise that you (or your organization) would like to offer in humanitarian work. Be as detailed and specific as needed.

Professional Organizations:

List major professional organizations you belong to. Include organization acronyms if possible.

Experience:

Describe any experience that you (or your organization) may have had with overseas or domestic development projects and with any in-country non-profit or other possible organizations.

Availability:

Provide information about your availability on projects (time, location, season, etc.)

Foreign Languages Spoken:

For proficiency list 1-5, 5 being fluent

Are You Currently a Student? If yes, Level and Where? Expected Graduation Date?:

Countries:

List countries where you (or your organization) would like to work (Y) or not work (N).

Insurance:

Do you have current health insurance that covers you internationally?

Expenses:

Are you (or your organization) able and/or willing to help cover your travel expenses?

References:

Provide at least two references (name, affiliation and contact information)

Health

Sanitation

Education and Training

Agriculture and Forestry

Telecommunication

Security

Water & Water Management

Energy & Energy Management

Shelter & Infrastructure

Transportation and Surveying

Waste and Recycling

Humanitarian Engineers Volunteer Registration Form