2020 Fall Teaching Assistants application form Application deadline for FALL courses: July 15, 2020 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 Your email address is our primary method of contact, and will be used for all course-related communications. We occasionally send news to our Alumni: do you wish to keep in touch with what's happening at BMSC? YesNo Emergency Contact Name Phone Number (Format: XXX-XXX-XXXX) Academic Info *Current University *Current degree program *Current graduate supervisor *List all degrees (with year) *Courses taken at BMSC *Previous TA positions at BMSC *Are you a Canadian citizen, landed immigrant or refuge? YesNo If no, will you hold a valid work permit and Social Insurance Number covering the period of employment? YesNo Fall 2020 Courses you would like to TA (Students are rarely hired for more than one course) Choice # Course Name *Choice 1 ---Ecological Adaptations of SeaweedsMarine Population Ecology & DynamicsStructure & Function in Marine AnimalsSeminars & Papers in Marine ScienceDirected Studies in Marine Science Choice 2 ---Ecological Adaptations of SeaweedsMarine Population Ecology & DynamicsStructure & Function in Marine AnimalsSeminars & Papers in Marine ScienceDirected Studies in Marine Science Choice 3 ---Ecological Adaptations of SeaweedsMarine Population Ecology & DynamicsStructure & Function in Marine AnimalsSeminars & Papers in Marine ScienceDirected Studies in Marine Science Technical qualifications Successful candidates must provide copies of all certifications to the University Programs Coordinator. If you will be driving BMSC vehicles during the course, you will be asked to provide a Driver’s abstract (easily attainable from ICBC at no cost). First Aid: A valid Marine Basic First Aid, or any 2-day (16 hrs) First Aid course recognized in B.C., or a higher certification is required for all BMSC Teaching Assistants. Please list the name and expiry date of the certificate held. First Aid course name: Expiry Date: (YYYY-MM-DD) Boating: Pleasure Craft Operator Card? YesNo PCOC # Small Vessel Operator Proficiency? YesNo SVOP # *For SVOP license to be valid, you also need the following: Marine Emergency Duties (MED)? YesNo MED # Marine Basic First Aid? YesNo MBFA # Restricted Operator Certificate (Maritime) with DSC endorsement? YesNo Restricted Operator Certificate # Land Transport: Class V Driver’s license? YesNo Class V # Class IV Driver’s license? YesNo Class IV # References *Name *University *Department *Phone Number (Format: XXX-XXX-XXXX) *Email Name University Department Phone Number (Format: XXX-XXX-XXXX) Email Name University Department Phone Number (Format: XXX-XXX-XXXX) Email Attachments *Please attach your CV and cover letter in a single document, titled with the applicant’s LAST Name: FALL Semester TA application deadline, July 15, 2020 Direct questions to: University Programs Coordinator university@bamfieldmsc.com www.bamfieldmsc.com