UP 2019 Summer Application Form Steps on how to apply – click here Now accepting applications for Summer 2019 courses Summer Application Deadline: March 1, 2019, to be eligible for scholarships. Student applications received past the application deadline will be assessed on a first-come, first-served basis REQUIRED DOCUMENTS: 1. One set of transcripts for all post-secondary academic activities (official or unofficial). 2. A brief statement of interest (max 300 words submitted as PDF) explaining the appropriateness of the requested course(s) to your own professional development. If you are applying for more than one course, you may choose to submit a customized statement for each. 3. Course specific additional documentation, if applicable (listed below). You will be notified by e-mail when your application is complete. ADDITIONAL DOCUMENTS REQUIRED (all as PDF): Historical Ecology & Coastal Archaeology: Students applying for this course must also complete and submit an additional form (download the form from the attachment section below) For UVic students taking ANTH 344, information on this form will be shared with the UVic Anthropology department. Directed Studies: Students applying to complete a 3 or 6 week directed studies must submit a project proposal and letter from a supervising faculty member. Contact the University Program Coordinator if you need help finding a faculty member to supervise your project. If you are applying to AUDIT a course, you must submit a letter of permission to apply from the instructor, either by an attachment here, or by email to email@example.com. Note that students applying to audit Science Communication do not require a letter of permission with their application. To use SCUBA during University Program courses: Contact the Dive & Safety Officer if you wish to use SCUBA in your course. The following MUST be submitted to the University Programs office by students wishing to take the BMSC Subtidal Science course (offered alternate years) and/or use SCUBA during another BMSC course: Review: BMSC dive safety policy Copy of nationally recognized SCUBA certification (eg. PADI, ACUC, SSI, CMAS, BSAC, SDI, NAUI). Signed BMSC SCUBA Diver Liability Waiver. Completed BMSC SCUBA Diver Clearance Form. Evidence of equipment service within the last year (i.e. dated receipt, test certificate or report). Copy of valid First Aid certification that includes CPR. Copy of certification for Diver Rescue and Accident Management. Completed SCUBA Dive Medical Examination Form (will be available upon course acceptance, Summer – March 15, Fall – April 15). Must be completed by a WorkSafe-approved physician with knowledge in diving. Alternatively, a current dive medical examination form from BMSC last summer, PADI, etc. Attachments (submit all as PDFs) Statement of Interest Historical Ecology & Coastal Archaeology (HECA) form (*only those students applying for HECA must fill out this form) Transcripts (Optional) Additional Transcript File 1 (Optional) Additional Transcript File 2 Letter of accommodation (for students with learning disabilities) Doctor's note for students with food allergies/diet restictions Instructor letter of permission to AUDIT a course. Applicant information *Required field Prefix *First name *Last name Nickname *Date of birth (Format YYYY-MM-DD) Permanent Address Please use an address where you can receive BMSC communications for the foreseeable future *Street Address Street Address line 2 Street Address line 3 *City *Province/State -----CANADA--AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory--UNITEDSTATES--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--AUSTRALIA--Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia *Postal/Zip Code *Country ---CanadaUnited StatesUnited Kingdom-----AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArmeniaArubaAustraliaAustriaAzerbaijanAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaireBosnia and HerzegovinaBotswanaBouvet Island (Bouvetoya)BrazilBritish Indian Ocean Territory (Chagos Archipelago)British Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCuraçaoCyprusCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKazakhstanKenyaKiribatiKoreaKoreaKuwaitKyrgyz RepublicLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Netherlands)Slovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & S. Sandwich IslandsSpainSri LankaSudanSurinameSvalbard & Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsU.S. Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Contact info *Phone Number (Format: XXX-XXX-XXXX) *Email *Must be able to receive attachments Alternate Email Emergency Contact *Name *Phone Number (Format: XXX-XXX-XXXX) Further information *Member university you attend - Students from Non-member universities, please select "University of Victoria" ---AuditUniversity of AlbertaUniversity of Alberta - Augustana CampusUniversity of CalgaryUniversity of British ColumbiaUniversity of British Columbia - Okanagan CampusSimon Fraser UniversityUniversity of Victoria Non-member university you attend *Student ID number *Academic standing as of April 29, 2019 (If you have completed your second undergraduate year, you are considered a third year undergraduate) ---High School Graduate1st yr Undergraduate2nd yr Undergraduate3rd yr Undergraduate4th yr Undergraduate5th yr UndergraduateBA/BSc GraduateMasters StudentMasters GraduatePhD StudentPhD GraduatePost Doctoral FellowOther *Field of study, including major *Please calculate and report your rGPA here (your GPA based on your most recent 20 courses). If you do not have 20 courses yet, report your cGPA based on all of the courses you have taken. Please report your rGPA OUT OF the highest level GPA for your institution (e.g. 2.7 out of 4.0 for UAlberta or 7.8 out of 9.0 for Uvic or 3.0 out of 4.33 for SFU etc.). *Have you been to BMSC before? Please select all that apply No, I have not been to BMSC before Yes, Elementary or High School field trip Yes, University field trip Yes, Other educational or group field trip Yes, Previous BMSC summer or fall university course(s) Yes, Research/Research assistant If past trip selected above, please select year ---2018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994 Please name the school you came with, and/or courses attended at BMSC *How did you learn about BMSC? BMSC Website Instructor at home university Academic advisor at home university BMSC Ambassador at home university Poster at home university Digital display at home university Former/current BMSC student Social Media (Facebook share or post by friend) Other (please specify below) Reference Information *Name of professor who will recommend you *University *Phone *Email Course Selection Course descriptions and dates are available here: http://www.bamfieldmsc.com/education/prospective-students/courses You can choose to take consecutive courses, however only one course can be taken at a time. If you select a six-week course (Marine Invertebrate Zoology, Biology of Marine Fishes, or Coastal Biodiversity and Conservation), please select the course in both relevant date blocks. Please select an alternate course if your first choice is unavailable. Block I A (April 29 - May 17) B (May 21 - June 7) First choice N/AMarine Invertebrate Zoology (select in IB also) N/AMarine Invertebrate Zoology (select in IA also)Terrestrial and Freshwater ConservationEcological Models and Data Alternate choice N/AMarine Invertebrate Zoology (select in IB also) N/AMarine Invertebrate Zoology (select in IA also)Terrestrial and Freshwater ConservationEcological Models and Data Block II A (June 10 - June 28) B (July 2 - July 19) First choice N/ABiology of Marine Fishes (select for IIB also)Research Methods in Coastal WildlifeEthnobotany N/ABiology of Marine Fishes (select for IIA also)Science CommunicationMarine Behavioural Ecology Alternate choice N/ABiology of Marine Fishes (select for IIB also)Research Methods in Coastal WildlifeEthnobotany N/ABiology of Marine Fishes (select for IIA also)Science CommunicationMarine Behavioural Ecology Block III A (July 22 - Aug 9) B (Aug 12 - Aug 30) First choice N/ACoastal Biodiversity and Conservation (select for Block III B also)Coastal Community EcologyHistorical Ecology & Coastal Archaeology N/ACoastal Biodiversity and Conservation (select for Block III A also)Biodiversity of SeaweedsEnvironmental Law and Sustainability (August 19-30) Alternate choice N/ACoastal Biodiversity and Conservation (select for Block III B also)Coastal Community EcologyHistorical Ecology & Coastal Archaeology N/ACoastal Biodiversity and Conservation (select for Block III A also)Biodiversity of SeaweedsEnvironmental Law and Sustainability (August 19-30) Directed Studies Please contact firstname.lastname@example.org if you wish to take a 3 or 6 week Directed Studies Program. Directed Study 3 week: N/AYesNo Directed Study 6 week: N/AYesNo Course Selection Comments:If necessary, clarify your course selections. For example, if you only want to take one course, but your first choice is in one block and your second choice in another, you may explain here. Prerequisites If you are currently taking the prerequisite course, enter 'TBD'. If you do not have the prerequisite, enter 'NO'. If you have the Instructor's permission to apply without the pre-requisite, enter 'YES'. If you have taken more than one course that satisfies the pre-requisite, report your highest grade. Course Prerequisite Instructorpermission? Marine Invertebrate Zoology 3rd Year in Biology? N/AYesNo N/AYesNo Intro Invertebrate course? (Recommended) N/ANoA+AA-B+BB-C+CC-DFTBD Terrestrial and Freshwater Conservation 3rd Year in Biology? N/AYesNo N/AYesNo Intro Ecology Course? N/ANoA+AA-B+BB-C+CC-DFTBD Ecological Models and Data Intro Ecology Course? N/ANoA+AA-B+BB-C+CC-DFTBD N/AYesNo Intro Calculus Course? N/ANoA+AA-B+BB-C+CC-DFTBD Second Year Statistics Course? N/ANoA+AA-B+BB-C+CC-DFTBD Ethnobotany 3rd year standing? N/AYesNo N/AYesNo Research Methods in Coastal Wildlife 3rd year Biology? N/AYesNo N/AYesNo Intro Ecology Course? N/ANoA+AA-B+BB-C+CC-DFTBD Intro Statistics? N/ANoA+AA-B+BB-C+CC-DFTBD Biology of Marine Fishes Introduction to Vertebrate Biology Course? N/ANoA+AA-B+BB-C+CC-DFTBD N/AYesNo Science Communication 2nd year standing? N/AYesNo N/AYesNo Biodiversity of Seaweeds 3rd year Biology? N/AYesNo N/AYesNo Marine Behavioural Ecology Intro Ecology Course? N/ANoA+AA-B+BB-C+CC-DFTBD N/AYesNo Intro Stats Course (Recommended)? N/ANoA+AA-B+BB-C+CC-DFTBD Intro Vertebrate OR Invertebrate Zoology Course (Recommended)? N/ANoA+AA-B+BB-C+CC-DFTBD Coastal Biodiversity and Conservation 3rd Year standing? N/AYesNo N/AYesNo Coastal Community Ecology Intro Ecology Course? N/ANoA+AA-B+BB-C+CC-DFTBD N/AYesNo Intro Statistics Course? N/ANoA+AA-B+BB-C+CC-DFTBD Historical Ecology & Coastal Archaeology 3rd Year Standing? N/AYesNo N/AYesNo OR Graduate Student? N/AYesNo Intro Archaeology Course? N/ANoA+AA-B+BB-C+CC-DFTBD Environmental Law and Sustainability Upper-year Environmental Policy Course or Upper-year Environmental Law Course? N/ANoA+AA-B+BB-C+CC-DFTBD N/AYesNo Boat Use University Program students are given the opportunity to operate a 14ft outboard boat as part of their courses at BMSC. Boat use is recommended for: Boat use is NOT recommended for: Marine Invertebrate Zoology Biology of Marine Fishes Research Methods in Coastal Wildlife Marine Behavioural Ecology Coastal Community Ecology Coastal Biodiversity & Conservation Historical Ecology & Coastal Archaeology Biodiversity of Seaweeds Terrestrial and Freshwater Conservation Ecological Models and Data Ethnobotany Science Communication Environmental Law and Sustainability All boat operators must have the following before coming to BMSC: Pleasure Craft Operator's Card (PCOC); and Two-day First Aid certificate recognized by a province or territory (e.g. Red Cross, St. John’s)(see here) Boating experience is recommended but not necessary; training is provided on the first day of class. Students will be given the opportunity to practice their skills prior to being given permission to take the boats outside the inlet. Do you wish to operate boats? If not, please skip next 2 sections YesNo I would like to operate boats and presently have the necessary certifications YesNo I will obtain a PCOC and the necessary First Aid certification prior to arriving at BMSC YesNo PCOC number First Aid certification First Aid expiry date SCUBA If you are applying to take Subtidal Science or if you intend to dive at BMSC please consult the BMSC website on qualifying as a Scientific Diver at BMSC. The following list of equipment is REQUIRED. If you cannot fulfill this list, please explain your situation in the text box below. Mask, snorkel, fins Dry suit (MANDATORY) Hood, boots, gloves Weight system Buoyancy compensator with low pressure inflator Regulator Alternate air source Submersible pressure gauge Underwater compass Bottom timer (i.e. dive watch) Primary dive light Back-up dive light Dive knife TWO emergency signal devices - one audible, one visual Small gear bag (i.e. mesh goody bag) Logbook (minimum 12 dives in 12 months prior to arrival) NOTE: BMSC will supply you with SCUBA tanks Do you plan to use SCUBA? YesNo Will you be able to bring all of the equipment listed? YesNo Scuba Equipment special notes Please explain your circumstances if you were unable to answer 'Yes' above Accommodation Note: Students will be housed in a co-ed dormitory in shared, same-gender rooms. *Gender (for housing assignment) ---FemaleMaleNon-BinaryOther Housing comments (e.g. name of preferred roommate etc.): Dietary preferences Meals always include a meat option and a vegetarian option. BMSC is equipped to accommodate vegetarian/vegan diets. To help us determine how much food to order and prepare, please indicate your preferences below. If you indicate that you eat meat, you will be expected to take the meat option for all meals. You can change this option at a later time. *Dietary Preferences ---Meat optionVegetarian OptionVegan Option Dietary Restrictions Please list any allergies or dietary restrictions. Due to the high number of dietary restrictions received from students in recent years, BMSC may request specific dietary restrictions be accompanied by a note from a doctor. All dietary restrictions can be changed at a later date. List dietary sensitivities or allergies: Pertinent Medical Conditions Bamfield is remote. It has a clinic with a small medical dispensary, staffed by a nurse. The closest doctor and hospital are in Port Alberni, two hours away by road. In the event of an emergency, evacuations by boat/helicopter are possible and dependent on weather. For these reasons, BMSC takes its students’ medical conditions very seriously. Please share any pertinent, pre-existing medical conditions. This information is treated as confidential and will not be considered during the application process; it will be disclosed to BMSC First Aid officers and instructional staff during your course. The type of information we need includes but is not limited to: Serious allergies, diabetes, epilepsy, mobility issues, hearing impairments, issues with balance, visual impairments, pre-existing injuries, recent surgeries, serious illnesses, and mental health illness.