SEE-U Summer 2001 Application Form

APPLICATION SUMMER 2001 INSTRUCTIONS FOR COMPLETING THE APPLICATION PROCESS: Print and complete the application form Enclose all required materials listed in the Check List Mail the form and required materials in a single envelope to: [ Download the PDF version | Printable application form ]
APPLICATION FORM:
Preferred Field Study location:
____ | Biosphere 2, Arizona, U.S.A. (desert)
____ | Black Rock Forest, New York, U.S.A. (temperate forest)
____ | Atlantic Forest, Brazil (tropical forest)
If I cannot get my first choice of field site, my second choice is:
____ | Biosphere 2, Arizona, U.S.A. (desert)
____ | Black Rock Forest, New York, U.S.A. (temperate forest)
____ | Atlantic Forest, Brazil (tropical forest)
Personal Information:
Last Name: | ______________________ | First Name: | ______________________ | Middle Name: | ________
Social Security Number: | ______-____-________
____ | Male | ____ | Female
Date of Birth: | (Month/Date/Year) ____-____-________ |  | Place of Birth: | _________________________
Citizenship:
____ | U.S. Citizen | ____ | Permanent U.S. Resident | ____ | Citizen | of | _______________
Visa Category | (if applicable): _________________________
____ | Student Visa | ____ | Other Visa
Contact Information:
Mailing Address: | __________________________________________________
City: | ____________ | State: | ____________ | Zip: | ____________
E-mail address: | _____________________ |  | Telephone number: | _____________________
Academic Information:
College/University Attending: | __________________________________________________
Mailing Address: | __________________________________________________
City: | ____________ | State: | ____________ | Zip: | ____________
Current GPA: | _____________________ |  | Telephone number: | _____________________
Have you ever applied to Columbia University before?: | ____ | Yes |  | ____ | No
Are you planning to attend any other Columbia University Summer programs?: | ____ | Yes |  | ____ | No
Relevant Experience and Interests (for example, environmental clubs, camping, other field study experience):
Safety Information (does not influence admission):
Do you have any medical, physical, dietary, or academic needs that need to be addressed under field conditions?: | ____ | Yes |  | ____ | No
If you answered yes, to the above question, please describe in the space provided.
CHECK LIST OF REQUIRED MATERIALS:
____ | Application should be received no later than April 1 to ensure site selection and no later than April 15 to be considered for financial aid. All applications must be received no later than May 1.
____ | Application Fee: A $35 non-refundable application fee payable to Columbia University by check or money order must accompany application.
____ | Transcript: Include an unofficial copy of your latest transcript with your application.
____ | Essay: Briefly describe why you are choosing to study in your preferred biome. Please limit your statement to 500 words.
____ | Reference: One letter of reference from a faculty advisor or science instructor must accompany your application.
| Program dates June 4 to July 6. Tuition $4500—due June 1.