Course Application for Marine Ornithology (Bio 493)

First: MI: Last:

What year were you born?: (yyyy):


Current Mailing Address and Contact Information:

Street

City State Zip Code

Day Tel# Eve Tel# Cell#

E-mail:

Long Term Address and Contact Information:

Street

City State Zip Code

Telephone

References:
(Please provide names and contact information for 2 people (employers or professors, prefereably) who can be contacted by phone for a verbal reference.

Name:

Position:

E-mail:

Telephone:

Name:

Position:

E-mail:

Telephone:

Academic Information ( if currently in school)

Institution's Name

Institution's City   State

What is your current year in school?

What is your declared major?

Prior Colleges attended   Dates attended   Major subject
   
   

Coursework:

Please list the course number and name of any courses you have taken in the following areas and the final grade you earned.

Biology/Ecology:

Statistics/Mathematics:

Overall GPA: GPA in major:

Your responses to the questions that follow will help us evaluate how prepared you are for the field and laboratory work in Marine Ornithology. Field work will occur in remote areas (with bears), involve primative camping, and exensive time in boats. Some data will be collected and analyzed independently, and students will be expected to analyze, write up, and present the results.


1. How would you describe your writing and analytical skills?

2. Please describe any camping, hiking, and boating experience you may have.

3. Have you had training or experience with First Aid and CPR? If so, at what level, and are you currently certified?


4. What skill or expertise do you have that you might be able to share with your teammates on a project? Your response could address wilderness or camping skills,
people skills, field research skills, organizational skills, or other attributes.


5. In 250 words or less, describe why you are interested in Marine Ornithology, noting how taking this course fits with your personal interests or furthers your career goals.


6.Scholarships of up 500 dollars are available for 4 students through Audubon Alaska. Please select one of the following:

I do not need financial support 

I cannot enroll in this course unless I receive financial support.

I would appreciate financial support but my enrollment is not dependant on it.

Thank you for taking the time to fill out this application. You will be notified by email of your acceptance status and any scholarship offers by April 15th. If you have questions about the course, you may contact the instructor at the following e-mail address: matt.kirchhoff@alaska.gov.