	Bamfield Marine Sciences Centre
	Canada's premier coastal and marine facility for teaching and research

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Summer 2012

Fall Program 2012

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HOME > University Programs > How to Apply > Fall 2012 Application

Apply for Fall 2012 - deadline March 31, 2012

Student Application Procedure

To apply for the fall program at Bamfield Marine Sciences Centre (BMSC), students must:
1) Complete and submit the electronic application form below (electronic submission).
2) Send the application fee to BMSC
3) Submit required documents (listed below) to BMSC. Required documents do not need to be sent together.

You will be notified by e-mail when your application is complete.

Documents may be submitted by:
E-mail:
Fax: (250) - 728-3452.
Post: Beth Rogers, BMSC, 100 Pachena Rd. Bamfield, BC V0R 1B0

Questions may be directed to:
Beth Rogers, University Programs Coordinator
E-mail:
Phone: 250-728-3301-ext 216

The Director of BMSC has final authority in accepting students for fall courses.

APPLICATION FEE

A $50 application fee (cheque or money order payable to Bamfield Marine Science Centre, or credit card by phone) refundable only upon course cancellation.

DOCUMENTS REQUIRED:

One set of transcripts for all post-secondary academic activities (official or un-official).
Please write a one page statement of interest (Max 300 words) telling us about yourself, and ONE of the following three options
a) your favorite course
b) your favorite biological story (i.e. phenomonon, adaptation, pattern)
c) the research you read about or encountered that most inspired you

TO USE SCUBA:
Review: BMSC dive safety policy
Note: All certification must be valid to the end of the course period.

Copy of nationally recognized SCUBA certification (eg. PADI, ACUC, SSI, CMAS, BSAC, SDI, NAUI).
Signed BMSC SCUBA Diver Liability Waiver.
Completed BMSC SCUBA Diver Clearance Form.
Completed SCUBA Dive medical examination form. Alternatively, current dive medical examination form from BMSC last summer, PADI, etc.).
Evidence of equipment service within the last year (i.e. dated receipt, test certificate or report)
Copy of valid First Aid certification that includes CPR.
Copy of valid certification for Oxygen Administration.
Copy of certification for Diver Rescue and Accident Management.

You will need to use a browser OTHER THAN Internet Explorer to complete the application form
ie Safari, Opera, Chrome, or Firefox

ON-LINE APPLICATION FORM: (*Denotes required field)

Please do not use any commas (,) when filling out this form, thank you

Applicant Information:


Prefix
*First name
*Last name
Nickname
*Date of birth	yyyy-mm-dd

___________________________________________________________________________________________

Permanent Address Please use an address where you can receive BMSC communications for the foreseeable future

Street Address

City

Province/State

Postal/Zip code

Country

___________________________________________________________________________________________
Contact Info

¹Must be able to receive attachments

*Phone

*Email¹

Alternate Email

___________________________________________________________________________________________
Emergency Contact

Name

Phone

___________________________________________________________________________________________

More Info

Gender (for housing assignments)

Pertinent medical issues (kept confidential)

Member university you attend

Non-member university you attend

Student ID number

BMSC programs previously attended

How did you learn about BMSC?

___________________________________________________________________________________________

Reference Information

Name of Professor who will recommend you

University

Phone

Email

___________________________________________________________________________________________ Recommended courses:If you are currently taking a prerequisite course, select 'TBD'

University Course Name Course # Grade

Invert Biology

Ecology

Non-Vasc Plants

Statistics

Boat Use:
PCOC = Pleasure Craft Operator's Card. SVOP-C = Small Vessel Operator Proficiency Certification. NOTE: You must have a current SVOP, Marine Emergency Duties-A3, Restricted Operator's Certificate (Maritime), and Marine Basic First Aid for your SVOP-C to be valid. It is MANDATORY that you possess PCOC or SVOP-C to operate a boat in Canada

Please select A or B below:

A) I do not wish/need to operate boats.

B) I would like to use boats.

PCOC number:
SVOP-C number:

I will obtain a PCOC or SVOP before I attend.

Do you plan to use SCUBA?

Notes

Dry suit is necessary. BMSC supplies SCUBA tanks ONLY.

Please read through the following list of REQUIRED equipment. If you cannot fulfill this list, please select no in the choice box following the list, and use the text box to explain your situation.

Mask, snorkel
Fins
Dry suit
Hood, boots, gloves
Weight system
Buoyancy compensator with low pressure inflator
Regulator
Alternate air source
Submersible pressure gauge
Underwater compass
Bottom timer (i.e. dive watch)
Primary dive light
Back-up dive light
Dive knife
Audible emergency signal device (whistle)
Visual emergency signal device (signal sausage)
Small gear bag (i.e. small, mesh goody bag)
Logbook (minimum 12 dives in 12 months prior to arrival)

Will you be able to bring all of the equipment listed?

Scuba Equipment special notes
Please explain your circumstances if you were unable to answer 'Yes' to the required equipment list

Accommodation:

Students typically share rooms. If known, name your preferred roommate:

Dietary preferences:

Meals always include a meat option and a vegetarian option. To help us determine how much food to order and prepare, please indicate your preferences below. If you indicate that you eat chicken, you will be expected to take the meat option when chicken is served. You may alter your preferences after you arrive by talking to kitchen staff.

I include meat in my diet (please select from the following list)

- beef?

- pork?

- chicken?

- fish?

I am vegetarian (please select options from the following list)

- milk?

- eggs?

List dietary sensitivities or allergies:

To complete your application, please enter the characters you see in the image:

Why?

If you cannot read the image, click for a new one

Bamfield Marine Sciences Centre
100 Pachena Rd, Bamfield, BC
Canada, V0R 1B0
Phone: (250) 728-3301
Fax: (250) 728-3452

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