PERFORMANCE EVALUATION FORM
NEW ENGLAND FISHERY MANAGEMENT COUNCIL RESEARCH STEERING COMMITTEE APPLICATION This form is designed to help the Council Chairman select Research Steering Committee (RSC) members. Please answer the questions in the categories that pertain to you. If you fit into more than one category, answer the questions for all categories that apply. Please fill in the sections that pertain to “All Applicants” (Part A). PART A - ALL APPLICANTS
Name: __________________________________________________________________________________ Address: ________________________________________________________________________________ City, State, Zip: Phone (day):
Cell: ___________________ E-mail: ___________________________
Date of Birth: _____________________ 1. Have you been found in violation of criminal or civil, or state or federal fisheries laws or regulations, or convicted of any felony or crime over the last three years? Yes _______ No _______ 2. Have you attended MREP training? Science Module
Yes _______ No _______
Management Module Yes ______ No _______ Other _________________________________ 3. Have you participated in collaborative research with fishermen and scientists? Yes _______ No _______ If “yes” please describe:
4. Please provide the Council with any additional information, which you feel would assist us in choosing RSC members. You may use as many pages as needed.
Applicants Signature: ________________________________
Date: ___________________
Print Name: ___________________________________________________________________
Page 1 of 3
NEW ENGLAND FISHERY MANAGEMENT COUNCIL RESEARCH STEERING COMMITTEE APPLICATION PART B - FISHERMAN
1. Are you a member of any fishermen’s organizations or clubs? Yes _______ No _______ If “yes” please list them by name: 2. Where is your home port? If less than five years, please indicate your previous home port. __________________________________
Commercial Fishermen 1. How many years have you been in the commercial fishing business? ________ 2. Are you employed only in commercial fishing? Yes ______ No _______ 3. What is the predominant gear type you use?
_______________________________________________
4. What species of fish and/or shellfish do you fish for commercially? _________________________________________________________________________ _________________________________________________________________________ Charter/Party Boat Fishing 1. How many years have you been in the charter/party boat business? ________ 2. Are you employed only in the charter/party boat industry? Yes ______
No _______
If “no”, please list other type(s) of business(es) and/or occupation(s): ________________________________________________________________________
3. What species of fish and/or shellfish do you fish for in the charter or party boat business? __________________________________________________________ ____________________________________________________________ Private Recreational Fishing 1. Are you an angler? Yes ______
No _______
2. Are you working or have you ever worked in any area related to the recreational fishing industry? Yes ______ No _______
If “yes”, please explain:
__________________________________________________________________________________ 3. How many years have you engaged in recreational fishing?
_________
4. What species of fish and/or shellfish do you fish for recreationally? ____________________________________ _______________________________________________________________________________
Page 2 of 3
NEW ENGLAND FISHERY MANAGEMENT COUNCIL RESEARCH STEERING COMMITTEE APPLICATION PART C
FISHERY SCIENTIST/ACADEMIC
1. Describe your current position and employer: _________________________________________________________________________________ _________________________________________________________________________________ 2. What is the focus of your academic and/or research interests? __________________________________________________________________________________ __________________________________________________________________________________
PART D CONSERVATION COMMUNITY MEMBER
1. Describe your current position and employer: __________________________________________________________________________________ _________________________________________________________________________________ 2. What is the nature of your interest in fisheries? __________________________________________________________________________________ __________________________________________________________________________________
Page 3 of 3
Name: __________________________________________________________________________________ Address: ________________________________________________________________________________ City, State, Zip: Phone (day):
Cell: ___________________ E-mail: ___________________________
Date of Birth: _____________________ 1. Have you been found in violation of criminal or civil, or state or federal fisheries laws or regulations, or convicted of any felony or crime over the last three years? Yes _______ No _______ 2. Have you attended MREP training? Science Module
Yes _______ No _______
Management Module Yes ______ No _______ Other _________________________________ 3. Have you participated in collaborative research with fishermen and scientists? Yes _______ No _______ If “yes” please describe:
4. Please provide the Council with any additional information, which you feel would assist us in choosing RSC members. You may use as many pages as needed.
Applicants Signature: ________________________________
Date: ___________________
Print Name: ___________________________________________________________________
Page 1 of 3
NEW ENGLAND FISHERY MANAGEMENT COUNCIL RESEARCH STEERING COMMITTEE APPLICATION PART B - FISHERMAN
1. Are you a member of any fishermen’s organizations or clubs? Yes _______ No _______ If “yes” please list them by name: 2. Where is your home port? If less than five years, please indicate your previous home port. __________________________________
Commercial Fishermen 1. How many years have you been in the commercial fishing business? ________ 2. Are you employed only in commercial fishing? Yes ______ No _______ 3. What is the predominant gear type you use?
_______________________________________________
4. What species of fish and/or shellfish do you fish for commercially? _________________________________________________________________________ _________________________________________________________________________ Charter/Party Boat Fishing 1. How many years have you been in the charter/party boat business? ________ 2. Are you employed only in the charter/party boat industry? Yes ______
No _______
If “no”, please list other type(s) of business(es) and/or occupation(s): ________________________________________________________________________
3. What species of fish and/or shellfish do you fish for in the charter or party boat business? __________________________________________________________ ____________________________________________________________ Private Recreational Fishing 1. Are you an angler? Yes ______
No _______
2. Are you working or have you ever worked in any area related to the recreational fishing industry? Yes ______ No _______
If “yes”, please explain:
__________________________________________________________________________________ 3. How many years have you engaged in recreational fishing?
_________
4. What species of fish and/or shellfish do you fish for recreationally? ____________________________________ _______________________________________________________________________________
Page 2 of 3
NEW ENGLAND FISHERY MANAGEMENT COUNCIL RESEARCH STEERING COMMITTEE APPLICATION PART C
FISHERY SCIENTIST/ACADEMIC
1. Describe your current position and employer: _________________________________________________________________________________ _________________________________________________________________________________ 2. What is the focus of your academic and/or research interests? __________________________________________________________________________________ __________________________________________________________________________________
PART D CONSERVATION COMMUNITY MEMBER
1. Describe your current position and employer: __________________________________________________________________________________ _________________________________________________________________________________ 2. What is the nature of your interest in fisheries? __________________________________________________________________________________ __________________________________________________________________________________
Page 3 of 3
