BioBlitz2017 Survey Leader BioBlitz2017 Survey Leader EOI Please complete the expression of interest form below if you would like to be involved as a Survey leader at Tarkine BioBlitz 2017. Note that asterisks (*) indicate required fields. 1 Welcome2 Your details3 Emergency/Allergies/Dietary info4 Survey expertise5 Dates6 Meals and Accommodation7 And youre done! As a Survey Leader at Tarkine BioBlitz 2017, you will be leading a group of up to 10 participants to discover and document a particular aspect of the biodiversity of the Tarkine region. You need not be an expert in the region specifically, just have a willingness to share your knowledge and passion for your survey subject area with participants. This year we have selected 4 sites for conducting field surveys: i) Dempster Plains is a buttongrass moorland with a patch of wet mixed forest. It was surveyed in 2015 prior to an intense fire and was revisited briefly during the 2016 BioBlitz (after the fire). ii) Dartys Corner (on the coast) has sandy beach, dune, rocky shelf, coastal dune and creek habitats. This area has been surveyed in 2015 and 2016. iii) Sundown Point is a new site on the coast, a few kilometres north of Dartys Corner, and has similar habitats. iv) Keppel Creek forest (Sumac coupe) is a stand of tall wet eucalypt forest surrounded by rainforest, near the Arthur River. In return for your contribution, we offer to cover your return transport, meals and accommodation costs for the duration of BioBlitz2017. If you choose to be involved as a Survey leader, please complete the form below and event organisers will contact you to discuss specifics and timetabling of surveys, equipment needs and other details at a later date. Alternatively, if you do not wish to lead a survey but would still like to attend Tarkine BioBlitz2017: • Go to http://sales.bobbrown.com.au/bioblitz2017 to register as a participant. • Go to http://sales.bobbrown.com.au/bioblitz2017-team if you are interested in being involved in organising the event. Join us for another great BioBlitz in takayna / Tarkine! The Bob Brown Foundation would like to invite you to participate in the third Tarkine BioBlitz (23 - 26 November 2017) Tarkine BioBlitz2017 is the third BioBlitz to be held in takayna/Tarkine and will be held over 72 hours. You are welcome to join us from Thursday 23 to Sunday 26 Nov, or any time in between. On Friday 24 Nov we will be inviting school groups to join the BioBlitz and on Saturday and Sunday BioBlitz will be open to the public to participate. Our base camp for the duration of the event will be at the Riverbend Youth Centre, approximately 6km south of Smithton, North-west Tas. Accommodation options include motorhome sites, tent camping, dormitories and some more private facilities. Each day we will travel out to explore and discover Tarkine coast, forest and plains locations and regrouping at the base camp each evening to share food, discoveries and stories. We hope you are as inspired by takayna/Tarkine as we are and look forward to having you involved in Tarkine BioBlitz 2017. Name* First Last Gender*FemaleMalePrefer Not to AnswerDate of Birth* Contact Phone Number*Contact Email Address* Address*Where are you based? Where will you be travelling to BioBlitz from? Street Address Address Line 2 City State Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country AffiliationComplete if you will be attending the BioBlitz as a representative of an institution, organisation or club. Emergency Contact Name*Please enter the name and contact details of the person we could contact for you in case of emergency. First Last Relationship to you*Emergency Contact Phone Number*Emergency Contact Email AllergiesPlease describe any allergies you have and what medication (if any) you carry for these allergies.Gluten-free meals*Please indicate if you would prefer to have gluten-free meals at BioBlitz.Yes please (Gluten-free for me)No thanks (I'm happy to eat gluten)Dietary requirementsAll meals are vegan*, but If you have special dietary requirements please detail them here. *NOTE - Food was THE most highly rated aspect of previous BioBlitzes (average = 95%!!) As a Survey Leader at Tarkine BioBlitz 2017, you will be leading a group of up to 10 participants to discover and document a particular aspect of the biodiversity of the Tarkine region. You need not be an expert in the region specifically, just have a willingness to share your knowledge and passion for your survey subject area with participants. Last year's Field Survey program may give you a sense of what surveys have run previously and what survey you may like to run. Go to http://sales.bobbrown.com.au/bioblitz2016-survey-program to see the BioBlitz2016 program.Areas of expertise which you would like to contribute*e.g. botany, mammals, geology, insects etc...Field surveys or sessions you would like to lead*e.g. spotlight surveys, birds, mammals, insects, trees, orchids, pollination ecology, bryophyte identification etc... NOTE: Also indicate if there is a specific site that you feel would be best suited your surveys (River/Forest/Plains/Coast)Survey rolePlease indicate the role/s you would prefer to have for any surveys.Survey leaderSurvey AssistantEither (lead or assist)Equipment needsPlease list any equipment that you will require us to source for you at BioBlitz (e.g. nets, traps, buckets, clipboards etc.) Note: Ensure that you clearly label any of your own equipment that you bring to BioBlitz with your name/contact details)Would you like to have a display area at the base camp?e.g. to display photographs or specimens or taxonomic resources...Any other ways you would like to participate?e.g. give an evening lecture, show a short film, run a quiz, put on children’s activities... What dates would you like to attend?*BioBlitz2017 runs 23-26 November inclusive. Thursday 23rd Nov Friday 24th Nov Saturday 25th Nov Sunday 26th Nov WildBlitzThis year we are also looking for Survey Leaders to be involved in an intensive remote "WildBlitz" which will run Monday 20th to Thursday 23rd Nov (providing 2 full days fo fieldwork in a remote area) and give Survey Leaders the opportunity to work with a support crew to conduct biodiversity surveys in more remote areas of the Tarkine. This work can then be showcased and shared at the main BioBlitz event. Please indicate if you would be keen and available to participate in WildBlitz.Yes, I'm available Mon 20th-Thu23rd Nov. Tell me more.No thanks. Not this time. Thursday 23rd November 2017Thursday MealsWhich meals would you like on Thursday 23rd November? Lunch Dinner Thursday AccommodationWhich accommodation would you like on Thursday 23rd November? - Dorm rooms contain single beds and sleep 6-10 people. - Motor home sites have power and access to the campground amenities. - Tent sites are unpowered and have access to the campground amenities. Dorm Room (Thursday) Motor Home Site (Thursday) Tent Site (Thursday) Friday 24th November 2017Friday MealsWhich meals would you like on Friday 24th November? Breakfast Lunch Dinner Friday AccommodationWhich accommodation would you like on Friday 24th November? - Dorm rooms contain single beds and sleep 6-10 people. - Motor home sites have power and access to the campground amenities. - Tent sites are unpowered and have access to the campground amenities. Dorm Room (Friday) Motor Home Site (Friday) Tent Site (Friday) Saturday 25th November 2017Saturday MealsWhich meals would you like on Saturday 25th November? Breakfast Lunch Dinner Saturday AccommodationWhich accommodation would you like on Saturday 25th November? - Dorm rooms contain single beds and sleep 6-10 people. - Motor home sites have power and access to the campground amenities. - Tent sites are unpowered and have access to the campground amenities. Dorm Room (Saturday) Motor Home Site (Saturday) Tent Site (Saturday) Sunday 26th November 2017Sunday MealsWhich meals would you like on Sunday 26th November? Breakfast Lunch Congratulations you're done! Thanks for taking the time and offering to contribute to making Tarkine BioBlitz2017 amazing!! Just check the "I'm not a robot" box below and hit "Submit" and one of our organising team will be in touch to make arrangements. Please confirm you are not a robotNameThis field is for validation purposes and should be left unchanged.