Marine Biology Application

This application must be filled out and signed both by the applicant and a parent or legal guardian.

Student's Name(required)

Date Of Birth(required)

City, State, Zip Code (enter as: City ST 12345)(required)

Phone Number(required)

Primary Parent/Legal Guardian Name(required)

Secondary Parent/Legal Guardian Name

Church Affiliation (if any)

Academic Records

School Name (If Homeschooled, enter "Homeschooled")(required)

School Address (If Homeschooled, enter home address)(required)

Present Class(required) Freshman

Sophmore

Junior

Senior

What are your vocational plans?(required)

Where do you intend to attend college?(required)

General Information

Since we are in the ocean every day, how would you rate your swimming ability?(required) Excellent

Very Good

Good

Poor

Can't Swim

Are you a certified scuba diver?(required) Yes

What is your reason for attending this trip?(required)

We supply all students with a program t-shirt. Please state your size (unisex sizes)(required) Small

Medium

Large

X-Large

XX-Large

XXX-Large

One of the materials handed out to all participants is a Handbook, detailing all events, schedules, meals, etc. It also includes a listing of students and their contact information.

Please make a selection(required) I consent to sharing my contact information (phone number and address) in the Handbook

I do not consent. Do not place my contact information (phone number and address) in the Handbook

Deposit and Program Fees

After submitting your application you will be redirected to the payment page through PayPal. A $250 deposit is required to reserve your spot today. You can pay with your PayPal account, Credit or Debit card. If accepted you will be sent an invoice for the remainder of the Program Fees ( $250 Deposit + $1,600 = $1,850 Total). If you are not accepted, your deposit will be refunded in full. The final fees are due by March 31, 2022.

What is covered: Program Fees and your deposit cover all activity fees, boat rides, meals on site, housing, transportation and most instructional material

Additional Fees (not included in Program Fees): Student will be required to purchase the textbook for this course. The textbook is currently in development and students will be notified how and when they can purchase it. In addition if you do not own your own snorkel gear, you will have to purchase a set. There will be no rentals available.

What is not covered: your flight to and from Miami Airport is not included. The final excursion at a seafood restaurant is not covered. There will be an opportunity to shop for souvenirs, budget accordingly.

Limited scholarships are available on a case by case basis. Contact Denise Lane at 715-499-0067, or denise@evidence4faith.org

Refund Policy

Before March 31, 2022: If you are accepted and choose not to attend, you will be eligible for a partial refund up to $1,350 as funds are already invested in the trip.

After March 31, 2022: If you are accepted and choose not to attend, you will be eligible for a partial refund up to $250 as funds are already invested in the trip.

Consent

Student's Name(required)

Student: If you agree to these terms, please select below:(required) I have read, understood and consent to the terms and conditions

Parent/Legal Guardian Name(required)

Parent/Legal Guardian: If you agree to these terms, please select below:(required) I have read, understood and consent to the terms and conditions

By submitting this application you agree to our terms and conditions. You will directed to the checkout page on PayPal to complete your deposit. Applications will not be processed without the deposit.