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How did you hear of us?
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Specify Other from above:
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Your Full Name:
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Your Address during the academic year:
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Your address at home:
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Email Address:
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Your phone number during the academic year (with area code):
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Your phone number at home (with area code):
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Date of Birth:
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School Attending:
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Last date of school:
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Enrollment status:
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MAJOR:
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Do you prefer to do primarily lab or field work?
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Is there any reason you cannot do field work? If yes please provide an explanation and a description
of your limitations. (Positions exist for research/work opportunities that will not require field work).
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What are your career goals after completing your BS? (graduate school, professional or
medical school, work in industry, academia, government, etc.)
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Name, Phone Number and E-mail of references (please have 2 letters sent directly to the Director)
1.
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2.
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ESSAY:
Write a brief essay on your interests related to biogeochemistry. Do you have any specific research interests,
e.g., fish biology, environmental science, environmental policy? How will a research internship contribute to your
career goals? Do you have previous research experience?
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Citizenship:
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Specify other from above:
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Ethnic Background:
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Specify other from above:
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Disability:
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Gender:
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Additional comments/Explanations:
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