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Session Dates: June 5-July 10, 2007

Applications are still being accepted for 2007 Wait List

 

Fill out the following form completely and choose the APPLY button below to submit your application online.
 

1) Name (Last, First, MI)

2) Birth Date:

3) Sex:

Male   Female

4) Present College or University:

5) Class of:

2010 2009 2008 2007 Grad

6) Year Completed, June 2007:

Freshman Sophomore Junior Senior Grad

7) We are holding only one session this year.

Session I  

8) Current mailing address (street, city, state, zip):

9) Telephone Number:

10) Permanent Home Address (street, city, state, zip):

11) Telephone Number:

12) Full email address:     

13) Will you major in an Earth Science?

Yes   No
14) If "No", Explain

15) Cumulative college average:

16) List, with grades (in A, B, C, D, F equivalent), courses you have taken in the Earth Sciences; also list those you will have completed by June 2007.

Courses completed (Give title, Number, & Grade):

Courses completed by June 2007:

17) Who or what agency will provide your health insurance during the field course?

18) Do you have a physical or medical condition that might limit your ability to participate in the normal but often strenuous activities of a geology field course, such as hiking, climbing, camping, etc.?  If your answer is Yes, you must provide a letter from parent, guardian, or doctor describing that condition and explaining why it will not interfere with your participation in this field course.

Yes     No

19) Name of faculty member in your department whom we may contact to verify your grades as reported here.

20) Faculty member's phone number

21) Faculty member's full email address

22) Any additional comments or information can go here.

 



Questions about the application or the admissions process should be addressed to:
Robert Giegengack
Director
369 Hayden Hall
Telephone: (215) 898-5191
Fax: (215) 898-0964

Yvette Bordeaux
Associate Director for Undergraduate Programs
360D Hayden Hall
Telephone: (215) 898-9191
Fax: (215) 898-0964

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EES

Copyright © 2006
Earth and Environmental Science Department

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