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Marine Science Academy Scholarship Application
Please fill out the fields below to apply for a scholarship to the 2019 - 2020 Marine Science Academy program at Loggerhead Marinelife Center. Applications will be considered based on interest and academic standing; no previous experience in marine science-related activities or classes required.

For more information about the Marine Science Academy program at Loggerhead Marinelife Center, visit www.marinelife.org/MSA.

All applicants will receive notification of acceptance no later than Monday, September 16, 2019.

First name of student *
Your answer
Last name of student *
Your answer
Email Address *
Your answer
Phone number (cell preferred) *
Your answer
Please submit your full mailing address, including zipcode *
Your answer
What high school do you currently attend? *
Your answer
What is your overall GPA? Please use decimal format (i.e: 3.70). *
Your answer
What is your expected graduation class? *
What is your T-Shirt size? *
Please list any food allergies or medical history we should know about (full medical form will be filled out upon acceptance). *
Your answer
Why would you like to be accepted into the Marine Science Academy program (MSA) at Loggerhead Marinelife Center? Please use no more 250 words. *
Your answer
Do you participate in any extracurricular activities that may conflict with your participation in the Marine Science Academy? Please note: MSA students are only permitted to miss one meet-up session with excused absence in advance. *
Are you able to attend the mandatory orientation day on Saturday, October 12, 2019 from 9:00am - 11:00am? Please note: this date is mandatory for admittance into the program. *
Please list a parent or guardian (first and last name) *
Your answer
Please list a parent/guardian email address *
Your answer
Please list a parent/guardian phone number (cell preferred) *
Your answer
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