2016 Myles of Science Student Application
Full Name
Your answer
Address
Your answer
Phone Number (home)
Your answer
Phone Number (cell)
Your answer
Student Email Address
Your answer
Current Grade Level
Your answer
Your School's Name and Town
Your answer
Parent Name
Your answer
Parent Email Address
Your answer
T-Shirt Size
(Adult Unisex)
Have you participated in any of Montreat College summer programs before?
Required
If Yes, Which Program and What Year?
Your answer
What interests you about a field science expedition?
Your answer
Please indicate your level of interest/knowledge or ability in relation to the following items:
Please be honest when answering. We choose a mixture of students, not just those with the highest interest
No Interest/Low
Average Interest/Medium
Great Interest/High
Interest in science?
Interest in nature?
Interest in backpacking and camping?
Your knowledge of scientific method?
Your ability to conduct scientific studies?
Interest in a science career?
How did you find out about the MYLES of Science program?
Your answer
I understand that MYLES of Science is a field based science program that involves backpacking, sleeping in a tent, and hiking on rugged mountain trails
(Place both Parent and Student Initials in the box if you agree with this statement)
Your answer
I understand that MYLES of Science is a group experience that involves working with and getting along with others that may be different than me
(Place both Parent and Student Initials in the box if you agree with this statement)
Your answer
I understand that MYLES of Science is a field-science experience that involves studying living and non-living organisms in outdoor habitats, wild ecosystems, and natural places. Even when the weather is not always perfect.
(Place both Parent and Student Initials in the box if you agree with this statement)
Your answer
I understand that the application process is competitive, so there is not a guarantee that my child will be selected for MYLES of Science
(Parents please place initials in the box if you agree with this statement)
Your answer
I understand that if my child is accepted into MYLES of Science, there is a Medical form requiring a physical from a doctor, plus waiver forms to be filled out by the parent/guardian. These forms must be received 4 weeks prior to the begin of your child's program.
(Parents please place initials in the box if you agree with this statement)
Your answer
I understand that once my child is accepted my deposit of $100 secures their spot. This deposit payment is non-refundable. Unless MYLES of Science cancels a program due to unforeseen issues.
(Parents please place initials in the box if you agree with this statement)
Your answer
I understand that transportation to and from MYLES of Science and Montreat College is my responsibility at the start and end of my child's week-long program.
(Parents please place initials in the box if you agree with this statement)
Your answer
My top 3 weeks for my child to attend MYLES of Science are:
NOTE:June 19-24 - Full, July 10-15 - Full, July 24-29 - Full
1st
2nd
3rd
NA
June 26-July 1
July 17-22
July 31st - Aug 5 (Available if filled)
Is there another student applicant that you would like to be grouped with during your MYLES of Science expedition?
(We will do our best to assist with this request)
Your answer
Is there another student that you would like to refer to MYLES of Science?
(Name and phone number of parent and student)
Your answer
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