Student Application Form

1. Name:

2. Email address:

Other Contact Information (mailing address, telephone, and fax number):

3. Are you currently a student or postdoc? If so, where?

4. What is your nationality?

5. Please provide a chronological synopsis of your post-secondary education including courses taken in oceanography, biogeochemistry, microbiology, and ecology (500 words or less):

6. Please provide an updated curriculum vitae including research experience and any publications. Copy and paste information in box below:

7. Name two publications that have been most influential to your thinking as a scientist:

8. Please provide a brief list of the types of equipment, methodologies or computer-based models you use in your research:

9. What prior experience, if any, have you had working at sea? Please include a description of the type of work conducted and the duration of time at sea:

10. If selected as a participant in the course, you will be asked to prepare a formal 15-minute seminar on your current research. Please provide a title and brief (< 200 words) abstract for this presentation:

11. What aspect of microbial oceanography interests you most (200 words or less)?

12. What are your career goals and where do you see your professional development leading you over the next 5 years (500 words or less)?

13. Name three scientists (living or dead) that you would most like to take a course from and tell us why:

14. Please provide the names and contact information for three people who have agreed to prepare letters supporting your application. It will be your responsibility to make sure the letters are sent and received before January 29, 2010. Be sure to provide these references with information about the course and a copy of your application.