2021 HAB Applicants

Taxonomic Identification of Harmful Algae in U.S. Marine Waters (MERHAB) Application Form
Applicant's Name

First Name Last Name
Mobile Number

Area Code Phone Number
Work Number

Area Code Phone Number
Phone Number

Area Code Phone Number
Institute/Agency/Affiliation
Affiliation Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Applicant's E-mail
Gender (needed for housing assignments). Please click here for more information regarding our dormitory.

Present Position & Duties
What is the nature of your current position:

Tribe, state, federal employee in “environmental services” Academics or other professional
Describe your present position and duties (please be as detailed aspossible so we can tailor course details accordingly).
How much taxonomy is involved in your current position?
Does your state monitor HABs? How?

Why are you applying for the Course and how will you benefit professionally from attending?
What phytoplankton groups are you particularly interested in learning more about?
Would you be able to disseminate the information gained at the Course to others at your institution, and how?
Are you interested in contributing to a video-based project to capture some of the techniques and principles involved with training the next generation of HAB taxonomists?

Yes No
Do you have any special requirements that we need to know about if you are accepted to the course (e.g. allergies to latex gloves, food allergies or special requirements?)

Name and address (including telephone and email) of 2 referees familiar with your professional achievements
Referee #1
Referee #2
Please attach a brief CV

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Taxonomic Identification of Harmful Algae in U.S. Marine Waters (MERHAB) Application Form