Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

Please provide the following information:

Years Sailing
Size of boats
Certification
Longest distance sailed

Sailing experience - please provide an outline of your sailing experience. 
Please list previous courses:

Additional skills - An important consideration is what additional skills can you bring to the team -- medical, organizational (food), radio (ham) .......

Personal Goals - Why do you want to sail across 3500 miles of Ocean?
What do you expect to get out of the experience?