Black Bear PAWS Interest Form

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Thank you for your interest in Black Bear PAWS! Please complete the form below, and a member of our Team Maine will be in touch soon.

Email *

Full First Name *

Full Last Name *

UMaine Student ID Number (if you know it)

Date of Birth *

YYYY

Phone Number *

Have you officially deferred your admission to UMaine? *

Yes, I deferred to Spring 2021

Yes, I deferred to Fall 2021

No, I have been accepted to UMaine but have not officially deferred through Admissions

No, I am interested in participating in Black Bear Paws but am not a UMaine student

What is your sweatshirt size? *

XXL

3XL

Which opportunity would you like to enroll in? Please select all that apply:

For-credit course

Maine Bound Adventure Program

Internship through Cooperative Extension

Cooperative Extension Events & Workshops

4-H STEM Ambassador Program

I'm not sure, but would like to find out about available options.

Please indicate here if you are interested in a for-credit Maine Bound program but require financial assistance in order to participate. A staff member will be in touch to discuss options that may be available to you.

I'm interested in Future Leaders of Maine: Western Maine Mountain Adventure with LDR 100 course

I'm interested in Outdoor Leadership Summer Start with KPE 286 course

I'm not sure which program is right for me but I would like to talk with a staff member about options

I am not interested in a for-credit Maine Bound program

Clear selection

What are your areas of interest? Please select all that apply:

Arts and Music

Sciences

Outdoors

Leadership

Community Service

Getting involved on campus

Talking with a current student

I'm not sure, but would like to talk with a staff member about available options.

Have you completed your FAFSA for 2020-2021? *

Yes, and I included UMaine on my FAFSA

Yes, but I did not include UMaine on my FAFSA

I'm not sure

Submit

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