Request edit access
Dive into Science Application

Reef Check's Dive into Science Program offers scuba and scientific diving certification courses, experiential ocean stewardship training, and marine science educational opportunities to youth and young adults from underserved and tribal communities. This program aligns with our pursuit of Justice, Equity, Diversity and Inclusion (JEDI) in all that we do. Reef Check will provide instructors, scuba gear and equipment, transportation, food, and lodging — free of charge.

For more about Reef Check and the Dive into Science Program, please visit us at reefcheck.org.

This course will consist of 2 scuba courses (Beginning and Advanced courses), online eLearning, Zoom classes, and field weekends in Mendocino or Sonoma.

The program also offers tide pool expeditions and abalone monitoring in the Fort Bragg area for all ages.

If you have any questions, please contact the Program Director, Morgan Murphy-Cannella:
mmurphycannella@reefcheck.org, 760-994-5719
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Preferred First Name *
Preferred pronouns *
Cell phone number *
What is your age? *
When is your birthday? *
MM
/
DD
/
YYYY
Street Address  *
City *
Zip Code
*
County *
Is this the same as your mailing address? *
If your answer to the above is "No," please write your Mailing Address Below

Mailing Address:
Street or Post Office Box
*
City *
Zip Code *
Why are you interested in the Dive into Science program? (2 sentences) *
Why are you interested in the marine sciences? (2 sentences) *
Do you know how to swim?  *
Do you have experience swimming in the ocean? *
Are you comfortable in the ocean? *
This program requires participation in weekly virtual Zoom meetings, online scuba lessons, and more. If you do not have reliable internet and a computer we can help make arrangements for you. Do you have access to a computer and reliable internet access?
*
Reef Check will cover all transportation costs for the training. How do you typically travel? *
What is the highest level of school you have completed? *
Which of the following categories best describes your employment status? *
What is your annual household income?  *
How many people have lived in your household during the last 6 months?  *
If you are accepted, you will be expected to complete the entire program, including all course work, training days, Reef Check kelp forest dives, etc. 
(Please ask Community Liaison about requirements)

Do you foresee any challenges in meeting this requirement? 
*
Required
If you do foresee challenges in meeting participation requirements, is there anything Reef Check can do to help you?
*
Scuba is a sport that people of all physical fitness levels can participate in but does require swimming in open water, lifting and wearing heavy (30-50lbs) equipment, and in some cases, a physical from a doctor is required to participate. Do you have any concerns about your physical fitness level or being able to meet the physical demands of scuba?
*
Demographic Information. The following questions are optional. We ask these questions for two reasons: (1) To assess Dive into Science program outcomes across demographic lines, including race and gender expression, and (2) We want to evaluate the experience for specific underrepresented communities. This information will only be shared with limited staff and is stored on a password protected server. 
Reef Check is committed to racial equity and we do not discriminate on the basis of race, color, religion, place of origin, age, gender expression, or sexual orientation in any of our activities or operations. 

Please select one or more of the following:
*
If Indigenous American, what is your Tribal affiliation? *
How do you identify? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Reef Check.

Does this form look suspicious? Report