STA
ANFORD @ SEA
Complete
e all sections of th
his form. Please print.
Academic Information
Name
First name
Middle name
APPLICA
ATION FOR
R ADMISS
SION
Last namee
Current College/University
Nickname (prefer to be called)
Other Colleg
ges/Universities attennded
Gender
Estimated year of graduation
F
Female
Male
Social Secuurity #
Stan
nford ID#
Permanentt Mailing Address
Apt. / PO Box / StreetCitty
State Zip code Cou
untry (if not USA)
Permanentt Phone ( ) Current Ph
hone ( )
E-mail Address(es)
Major:
Campus / Apt. / PO Box / Street
S
City State Zip code Country (if not USA)
No
o
Advisor:
Personal Information
Date of Birtth
Alien Statuss
Current Mailing Address
Oceans Track Majjor: Yes
C
Country
Student Visaa
US citizeen
Other
Visa type:
Do you wish
h to be identified as a member of a particuular ethnic or minoritty group?
No
Yes (please sspecify)
Dates livinng at this address to
nt Courses Tak
ken:
Biologica
al Sciences
Relevan
(You can apply to take thee course from any field
f
of study)
Earth Sciiences
Ch
hemistry
Physics
Other
Application Essays
t three questions beelow. Type, proofrea
ad, and affix your nam
me to the top of eachh page before submittting your work.
Respond inn 300 words or more per essay to two of the
1. Describee a challenging educaational experience in which you mastered
d skills or concepts th
hat you thought were beyond your ability. How did you reach m
mastery? What technniques can you use for
future challlenges?
2. Tell us aabout a “community”” in which you particiipated. In what ways were you able to creeate and/or maintain and/or
a
improve the coommunity? What weere your obstacles andd how did you
address theem?
3. Why do you want to particip
pate in STANFORD @ SEA? What do yo
ou expect to contribu
ute and gain?
Reference
List the references whom you have asked to complete a form on your behalf. One reference
should be from a professor who has taught you in a college course within the past year.
1. Name
Phone ( )
Address
E-mail
2. Name
Phone (
Address
E-mail
)
Family Information
(Please check the parent or guardian to whom official correspondence should be sent.)
Father’s name (or guardian)
Mother’s name (or guardian)
Street
PO Box
City
State
Employer
Job Title
Zip
Business Address
Street/PO Box
Home Phone (
)
Street
PO Box
City
State
Employer
Job Title
Zip
Business Address
City
State
Business Phone (
)
Zip
Street/PO Box
Home Phone (
E-mail(s)
)
City
State
Business Phone (
)
Zip
E-mail(s)
List the names (and relationship to you) of any family members who have participated in any of SEA’s programs
How did you first learn of Stanford@SEA?
Who referred you?
Their affiliation with SEA?
Sign and date this application, indicating you have read about and understand the SEA Semester/SEA Summer Session programs, and verifying that all the information contained herein is factually
correct and honestly presented by you.
Signature
Date
To complete your application, submit by January 15, 2013:
Application & essays
College Transcript References (2)
Dr. Barbara A. Block, Stanford @ SEA, Hopkins Marine Station, Stanford University, Pacific Grove, CA 93950,FAX (831) 375-0793, [email protected]
STA
ANFORD @ SEA
APPLICA
ATION FOR
R ADMISS
SION
To the ap
pplicant: Give a form
m to each person you
u have listed on your application. One
reference m
must be an academic reference (Professor// Teaching Assistant)) who has taught you
u
within the last year.
Under thhe provisions of the Family
F
Educational Rights
R
of Privacy Actt of 1974, you have th
he
right to revview your educationaal records. The Act fu
urther provides that you
y may waive your right
r
to see referrences for admission. Indicate below by marking
m
the appropriaate box and signing your
y
name.
I waive any right of access
a
that I may hav
ve to this reference form.
I want the right of acccess to this referencee form.
I have appllied to:
S
STANFORD @ SEA
A (10 weeks/16 units))
Applicant’s Name (Print)
Applicant’s Signature
Daate
To the refe
erence: The person named here has appllied to a Stanford@S
SEA program. This is a
rigorous acaademic program strucctured to develop a coomprehensive undersstanding of the sea; itt is
designed to be a regular part of tthe general undergradduate education of Sttanford University.
The first half of the program iis an intensive study component conducteed on our Hopkins
Marine Statiion Campus in Pacifi
fic Grove, CA. Duringg this period instructiion will include
oceanograph
hy, marine conservattion and policy, marittime history, literaturre, and nautical scien
nce.
The second half combines acadeemic instruction with practical experience at sea on board one of
Sea Education Association’s reseearch sailing vessels..
The appllicant need not have hhad experience as a sscientist or a sailor, but must be academically
prepared to do a rigorous quarterr of academic work, m
mature and stable enough to live and work
productively
y in a rigorous theoreetical and practical leearning situation. Phyysically, the student will
w
experience occasional
o
discomforrt and fatigue; sociallly s/he must be able tto get along with otheers
from varyin
ng backgrounds; emottionally s/he must bee willing to accept thee discipline necessary
y for
the effectivee operation of a 134' sailing vessel with a group of 35 persons on the open ocean fo
or
35 days. Yo
our thoughtful responnses to the questions bbelow will be most hhelpful.
How long have you known the aapplicant?
In what capaacity?
1. Describee the applicant as a sttudent: effort vs. abillity. Are grades an acccurate summary of performance?
p
2. What are the applicant’s strengths, weaknesses, enthusiasms,
e
and disliikes?
(Pleasee complete next page.))
3. Has the applicant demonstrated maturity and tolerance in relationships with others, including the ability to lead and to follow?
4. Is the applicant the kind of person you would like to live/study/work with under the conditions described? Would you foresee any problems? If so, what?
5. Is there any other information we ought to have?
Name
College/University
Signature
Address
Title/Position
Phone ( ) E-mail address
Department
Would you like information on SEA’s programs?
Please return completed form and send by January 15, 2013 to:
Dr. Barbara A. Block, Stanford @ SEA, Hopkins Marine Station, Stanford University, Pacific Grove, CA 93950,FAX (831) 375-0793, [email protected]
STA
ANFORD @ SEA
APPLICA
ATION FOR
R ADMISS
SION
To the ap
pplicant: Give a form
m to each person you
u have listed on your application. One
reference m
must be an academic reference (ie. collegee instructor, academic advisor) who has taaught
you withinn the last year.
Under thhe provisions of the Family
F
Educational Rights
R
of Privacy Actt of 1974, you have th
he
right to revview your educationaal records. The Act fu
urther provides that you
y may waive your right
r
to see referrences for admission. Indicate below by marking
m
the appropriaate box and signing your
y
name.
I waive any right of access
a
that I may hav
ve to this reference form.
I want the right of acccess to this referencee form.
I have appllied to:
S
STANFORD @ SEA
A (10 weeks/16 units))
Applicant’s Name (Print)
Applicant’s Signature
Daate
To the refe
erence: The person named here has appllied to a Stanford@S
SEA program. This is a
rigorous acaademic program strucctured to develop a coomprehensive undersstanding of the sea; itt is
designed to be a regular part of tthe general undergradduate education of Sttanford University.
The first half of the program iis an intensive study component conducteed on our Hopkins
Marine Statiion Campus in Pacifi
fic Grove, CA. Duringg this period instructiion will include
oceanograph
hy, marine conservattion and policy, marittime history, literaturre, and nautical scien
nce.
The second half combines acadeemic instruction with practical experience at sea on board one of
Sea Education Association’s reseearch sailing vessels..
The appllicant need not have hhad experience as a sscientist or a sailor, but must be academically
prepared to do a rigorous quarterr of academic work, m
mature and stable enough to live and work
productively
y in a rigorous theoreetical and practical leearning situation. Phyysically, the student will
w
experience occasional
o
discomforrt and fatigue; sociallly s/he must be able tto get along with otheers
from varyin
ng backgrounds; emottionally s/he must bee willing to accept thee discipline necessary
y for
the effectivee operation of a 134' sailing vessel with a group of 35 persons on the open ocean fo
or
35 days. Yo
our thoughtful responnses to the questions bbelow will be most hhelpful.
How long have you known the aapplicant?
In what capaacity?
1. Describee the applicant as a sttudent: effort vs. abillity. Are grades an acccurate summary of performance?
p
2. What are the applicant’s strengths, weaknesses, enthusiasms,
e
and disliikes?
(Pleasee complete next page.))
3. Has the applicant demonstrated maturity and tolerance in relationships with others?
4. Is the applicant the kind of person you would like to live/study/work with under the conditions described? Would you foresee any problems? If so, what?
5. Is there any other information we ought to have?
Name
College/University
Signature
Address
Title/Position
Phone ( ) E-mail address
Department
Would you like information on SEA’s programs?
Please return completed form and send by January 15, 2013 to:
Dr. Barbara A. Block, Stanford @ SEA, Hopkins Marine Station, Stanford University, Pacific Grove, CA 93950,FAX (831) 375-0793, [email protected]