GOALS Student Application 2019

Thank you for your interest in being a GOALS scholar! Please read through the information for student applicants on the GOALS website before applying. The information for students can be found here: https://girlsoutdoorscience.com/students/

Applications are due March 29th, 2019 by 11:59PM.

Please email goals.ucdavis@gmail.com with any questions.

Name *

Your answer

High School *

Your answer

Current grade (please note that you must currently be in 10th grade to be eligible for GOALS) *

9th

10th

11th

12th

Email address *

Your answer

Phone number (please indicate if it is a home or cell phone number) *

Your answer

Please provide your parent/guardian's name, email address and phone number below. *

Your answer

We want to get to know you! Tell us about yourself. You can include information about your background, interests, and hobbies, a particular challenge you've faced, as well as anything else that you feel is important for us to know. (1500 characters max) Your answer can also include something creative such as a poem, drawing, song, story, photo, or a short video. If you choose to submit a drawing or photo, you can include it as part of your application or mail it to: GOALS at UC Davis, John Muir Institute for the Environment, The Barn, UC Davis, 1 Shields Ave, Davis CA 95616. If you choose to make a video, please include a YouTube link. *

Your answer

Why do you want to participate in this program? What are you hoping to gain and learn from the experience? For an ideas of what you might experience on a GOALS trip, check out our website, www.girlsoutdoorscience.com for stories from past scholars and general information about the program. (1500 characters max) *

Your answer

Describe your interest in science. Your answer can include something you learned in school or a scientific discovery that you think is important or interesting. (1000 characters max) *

Your answer

How will you contribute to the diversity of the team? We are looking to build a diverse team – diverse in terms of ethnicities, cultural backgrounds, hometowns, upbringing, personalities, identities and life experiences. Tell us what makes you unique! (1000 characters max) *

Your answer

How would you rate your experience in the outdoors? We want a group with a diversity of experience, so it’s okay if you don’t have outdoors experience! (camping=sleeping in a tent/outdoors but gear is transported in a vehicle, backpacking=hiking with a backpack carrying all gear needed to spend a night in the outdoors) Please select all that apply. *

No experience (nervous but excited)

I enjoy spending time outside

I’ve been hiking before

I've been camping once

I’ve been camping a few times

I’ve been backpacking once before

I am an experienced backpacker

Required

I have participated in: (check all that apply) Again, we are looking for people with different levels of experience, so it’s okay if you haven’t done any of these things. *

After school science program (4H, Girl Scouts, robotics team, etc.)

Science club

Participated in science fair

Worked/volunteered at lab or medical institution

Participated in a field trip where you learned about science

Other:

Required

Which of the following apply to you and your family (please check all that apply)? *

I raise my hand a lot in class

I am shy and don’t like to speak in class

I get good grades

I struggle in school but have a lot of potential

My parents went to college

My parents didn’t go to college

I am outgoing

I am shy

My family speaks mostly English at home

English is not my first language

I have a job outside of school

I qualify for financial-based fee reduction programs (i.e. reduced lunch programs)

Required

Considering your gender identity, please select all that apply. *

Gender variant/Non-conforming/Genderqueer

Female

Transgender

Prefer not to answer

Self-identified (please specify in 'other' below)

Other:

Required

How would you describe your sexual orientation? Please select all that apply. *

Bisexual

Gay

Heterosexual

Lesbian

Queer

Questioning

Prefer not to answer

Self-identified (Please specify in 'other' below)

Other:

Required

What is your race/ethnicity? Please select all that apply. *

Black, Afro-Caribbean or African American

East Asian or Asian American

Latinx, Hispanic American, Chicanx

Middle Eastern or Arab American

Native American or Alaskan Native

Non-Hispanic White or Euro-American (Caucasian)

South Asian or Indian American

Native Hawaiian or Pacific Islander

Self-identified, please specify in 'other' below

Other:

Required

What, if any, is your religious identity or affiliation? Please select all that apply. *

Buddhist

Christian (including Catholic, Protestant, Mormon, Baptist, Jehovah Witness, etc.)

Hindu

Jewish

Muslim

Atheist, agnostic, or unaffiliated

Unsure/don’t know

Prefer not to answer

Other, please specify below:

Other:

Required

I understand that GOALS is a backpacking expedition (July 13th-July 28th, 2019) that involves carrying a 40-pound backpack for 2-7 miles per day without the ability to use my phone or call home for several days at a time. Please enter your initials below to indicate you have read this statement. *

Your answer

I understand that the success of the GOALS team involves working together as a community to accomplish tasks. *

Yes

I understand that GOALS is an opportunity to learn science and leadership skills while backpacking. While there will be some downtime to hang out and relax, most of the trip will be filled with activities. Please enter your initials below to indicate you have read this statement. *

Your answer

I understand that I must have an adult submit a support form on my behalf in order for my application to be complete. I know it is my responsibility to contact an adult support and make sure they submit the form by March 29th, 2019 at 11:59. Please enter your initials below to indicate you have read this statement. *

Your answer

How did you hear about GOALS? *

Your answer

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