Online Application
Applicant Information
Name:
Address:
ZIP:
Phone:
Email:
Yes
Have you ever been convicted of a felony?
 No
Do you expect to receive University
credit for this course?
Yes
 No
Education
High School Name:
Address:
Did you graduate?
Yes
 No
Enrolled
University Name:
Address:
Degree Earned:
Did you earn a degree?
Yes
 No
Enrolled
Other Institution
Name:
Address:
Degree Earned:
Did you earn a degree?
Yes
 No
Enrolled
References
Name:
Relationship:
Email:
Phone:
Name:
Relationship:
Email:
Phone:
Name:
Relationship:
Email:
Phone:
Emergency Contact Information
Name:
Relationship:
Email:
Phone:
Motivation and Preferences
What is your main goal in
taking this field course?
Do you speak English?
Yes
 No
Budget Package     $620           
(includes transportation, meals, bottled water,
campsite, course materials and activities, and
field trips)
Standard Package       $700
(includes transportation, meals, bottled
water, bunkhouse lodging, course materials
and activities, and field trips)
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to acceptance in the program, I understand that false or misleading
information in my application or interview may result in my release.