STEMSEAS Application 2016

STEMSEAS Application 2016
Eligibility and Student Selection Criteria:
- Must be enrolled in a U.S. accredited institution of higher learning
- Must be comfortable in a somewhat unpredictable environment
- Must be in generally good health and meet all shipboard medical requirements
- Must be able to stand and walk for extended periods of time (generally fit, no need to be a super athlete)
- Must be able to work outdoors and in close quarters at sea
DEADLINE: All application materials must be submitted by 11:59 pm EST, 19 February 2016. These include:
- this application form
- one completed recommendation form from a professor, advisor or employer, available here. We will give this form a bit of leeway on the deadline if needed.
- a copy of your most recent official or unofficial transcript, uploaded below
If you are selected, all travel and expenses to/from the ports of call will be covered.
1. Full Name (as it appears on a government-issued or college ID)*

First NameMiddle NameLast Name
2. Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
3. E-mail*
4. Date of birth*

MonthDayYear
5. Phone Number*

Area CodePhone Number
6. Gender*

MaleFemale
7. College/University currently attending:*
8. Expected graduation Month/Year:*
9. Are you Hispanic or Latino?

YesNo
10. Race (check one or more that apply)

WhiteAfrican American or BlackNative Hawaiian or Other Pacific IslanderAmerican Indian or Alaska NativeAsian
11. Are you the first generation in your family to attend college?

YesNo
12. Was your family eligible for free school lunch when you were growing up?

YesNo
13. Other: Is there anything special that you would like the review committee to know about your background?
14. Are you fluent in speaking and writing English?*

YesNo
15. Are you conversational or fluent in any other languages?

NoYes
If yes, which one(s)?
16. Have you applied to STEMSEAS before?

YesNo
17. Are you in the process of earning a 2-year degree?

YesNo
18. If you are earning a 2-year degree, are you considering going on for a 4-year degree?

YesNo
If you answered yes to earning a 2-year degree, skip to Question #21.
19. Are you in the process of earning a 4-year degree?

YesNo
20. If yes, are you considering going on for an advanced degree?

YesNo
21. What is your ultimate educational goal?*

science two-year degreenon-science two-year degreescience 4-year degreenon-science 4-year degreescience advanced degree (e.g., Masters, PhD, MD)non-science advanced degree
22. What is your intended major? (If undeclared, just give us your best guess)*
23. If you plan to seek a minor, in what field?
24.What is your ultimate career goal at this point?*
25. If you have prior travel experience, list some of the locations you have visited. If not, leave blank - that's ok, too.
26. If you have any prior experience at sea, or other field or laboratory experiences, tell us about it!
27. Please check if you have any special skills with the following:

video production/editingsoftware developmentvisual artswritingsocial networking
28. How did you first learn about STEMSEAS?*

a class this semestera previous classa professorcollege staffgot an emailinternet searchOther
29. If you heard about STEMSEAS in a class,what best describes this class?

liberal studies science class that probably would not count towards a science majorscience class that probably could be used toward a science major
30. How many high school (including AP-level) science courses did you take?*

31. How many college level science or math classes have you taken?*

	0	1	2	3	more than 3
lecture without a lab
lecture with a lab
integrated lecture & lab

32. At this point in time, how many more science, math, engineering or technology classes do you expect to take before you graduate from your current program?*

0123>3
33. Do you intend to pursue a science or science-related career (e.g., a career that uses science, like a scientist, science teaching, science writing, technology law, etc.)?*

Definitely notProbably notNot sureProbably yesDefinitely yes
34. Please rank the 2016 expeditions you are interested in, in your order of preference. If you will be completely unavailable for any on this list, simply choose zero.
May 10-18: San Diego – Honolulu*
July 15-20: Morehead City, NC – Gulfport, MS *
August 16 – 24: Seattle to Nome, AK*
35. Tell us about any jobs, volunteer work, extracurricular activities or other activities you are involved in that sparked your interest in this program.
36. Personal Statement: Briefly (3-4 paragraphs) describe your career goals, why you are interested in this program and what you hope to gain from it.*
If accepted to sail on a STEMSEAS expedition, you will be expected to:
- take part in 2 pre-expedition webinars
- actively participate in the port call and all sailing days
- contribute to post-expedition webinars and keep your contact info current so we can follow-up with surveys about your experiences down the road
Typing your full name here indicates your commitment to these responsibilities and certifies that the information given in this application is complete and accurate:*
Provide the person writing your recommendation letter with a copy of your personal statement (#36 above) and the link to the recommendation form here. The letter must be submitted by the same deadline: February 19, 2016.
Name of person submitting recommendation letter:*
This person is a*

professoradvisor or counseloremployer (current or former)
I waive my right to see this recommendation letter.*

YesNo
Upload your most recent official or unofficial transcript.*

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