Name *

Email *

What is your major? *

When do you plan to graduate? *

What upper division biology or environmental science courses have you taken or will you have taken by the end of Spring quarter 2018? *

Have you participated in a field course before? If so, describe the class and your experience. *

Have you ever been to the Arctic, or another remote field location? If so, please describe your experience. *

Why do you want to participate in the Arctic Field course? What do you expect to get out of this course? *

What are you most interested in: plants, animals, climate change, permafrost, etc? *

The course includes one weekend of camping in California, and a three-week camping trip in the Arctic, and near-daily strenuous (often uphill) hiking while carrying gear. Previous experience camping is not necessary, but a love of being outdoors (and a willingness to go many days without a hot shower) is! Please describe any experience that you have camping (backpacking and/or car camping) and working/playing outdoors. *

Do you have any medical conditions (e.g. allergies, diabetes) that we should know about? Note that this information will not be used to exclude you from the class and will remain confidential. *

Do you have any qualifications in CPR, EMT, First Aid, etc? *