INFORMATION QUESTIONNAIRE FOR ASSISTANTS  
   
COCHA CASHU – 2005  
At present, Cocha Cashu requires a prepayment (deposit) to be made before anyone can enter the Biological Station.  
The principal investigator is responsible for his/her bill and also the bills of any assistants.  
   
NAME OF PRINCIPAL INVESTIGATOR WHOM YOU ARE ASSISTING:  
   
YOUR Name:  
Organization:  
Address:  
City State Zip Code:  
Country:  
E-mail address:  
Secondary E-mail Address:  
Telephone number:  
Fax Number:  

Country:
Passport number:

  
Libreta Electoral , or Documento de Identidad  
Birth date:  
Social Security number (necessary only for refund of overpayment):  
What will you be studying?  
   
   
   
Anticipated entry date?  
Anticipated exit date?  
   
   
(Please refer to the station web site www.duke.edu/~manu/ for INRENA policies regarding Peruvian assistants.)  
   
   
Emergency Contact: the person(s) to be notified in case of an emergency.  
Name:  
Address:  
Telephone:  
Fax:  
E-mail address:  
   
Do you have any medical condition(s) that the Station should know about in case of emergency?  
   
1. Are you allergic to penicillin or other medicines, bee and wasp stings, other?  
2. Are you diabetic?  
Each person should bring his/her own medicines, extra, and similar items.  
The Station will assume that you have had the appropriate shots.  
If you are allergic to insect stings, bring an epistick or similar kit to carry with you at all times in the field.  
Everyone must also carry an extractor kit.  
   
Do you know how to swim?  
Entry to and exit from Cashu require considerable boat travel, and people bathe in the lake.  
If you do not swim, bring a life jacket. Even if you do swim, we recommend that you use a life jacket whenever you are traveling by boat.  
   
   
Are you a vegetarian?  
At times when there is a cook at the station, she/he will prepare two main dishes, one with and one without meat or fish.  
However, each person should be either an herbivore or a carnivore throughout his/her stay.  
Please do not switch from meal to meal according to personal likes and dislikes.  
   
Will you need an office, desk space, or other special work space?  
Office space is limited, but we will try to accommodate everyone's needs. Any special needs (e.g., greenhouse space)?  
   
Any special needs? Questions? Comments?  
   
 
   
Please return to:  
Mellisa Fish Email: mfisch08@duke.edu
Center for Tropical Conservation  
Duke University  
Box 90381 Durham, NC 27708  
Phone: (919) 490-9081 Fax: (919) 493-3695