application form - University of Maryland Eastern Shore

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THE NATIONAL OCEANIC AND ATMOSPHERIC
ADMINISTRATION – UNIVERSITY OF MARYLAND
EASTERN SHORE (NOAA-UMES) SHORT COURSE IN
FISHERIES STOCK ASSESSMENT
APPLICATION FORM
SUMMER 2009
This application form can be completed and submitted electronically, or printed and sent
by mail no later than March 30, 2009. Use the ‘Tab’ key or mouse to navigate between
the fields of this application. The fields will expand to match your text as you type.
After you complete the information below, be sure to do the following:
I.
II.
III.
have two (2) letters of recommendation submitted on your behalf; we prefer that
these letters be from your undergraduate advisor and science faculty at your
college or university and that they address your academic and research
capabilities/potential; these may be submitted by email, but follow-up hard copies
must also follow
have one (1) copy of your official transcript sent to the address given at the
bottom of the page
submit a 1-2 page essay (see below) discussing prospective career goals and how
you expect the summer fisheries stock assessment course to help you reach those
goals.
Personal Information
Name:
Social Security Number:
Date of Birth:
Place of Birth:
Citizenship: U.S. Citizen
Gender: M
Permanent Resident
F
Ethnic Background (optional):
Disability:
Expected Date of Bachelor's Degree:
Major:
GPA:
Year:
College or University
College or University Address:
College/University Phone:
Email address:
Home Phone:
Cell Phone:
Your Educational Background
Please list biology and math courses you have completed as well as those in progress:
Please describe your familiarity with computers:
What are your long-range professional goals after you graduate?
Have you previously participated in any summer program?:
Yes
No
If yes, give location and research topic:
Please list any non-academic and community-related activities you have been involved with:
List any honors you have received, previous or current fellowships, previous internships, honorary
organizations to which you belong, and offices held, etc.:
Employment
Please list current employer (if any) and phone number
Full Name
Company
Phone (
)
Address
ESSAY
Include with your application a one to two page essay that addresses your career goals and how you
think a summer short course in fisheries stock assessment will help you to reach those goals. Why do
you wish to participate in the NOAA-UMES summer short course program? Do you have any
disabilities, physical limitations, or other special concerns? This essay will be used to evaluate your
writing skills, career focus, and maturity.
Your essay should be carefully organized and typed. You may :
1.
2.
3.
4.
Type into the field provided below.
Submit it as a separate email attachment
Fax it
Mail it directly.
Addresses are provided at the bottom of the application.
References
Names, titles, phone numbers and email addresses for two references (Note: Make sure to request
letters of support from your references):
Full Name
Title
Organization
Phone (
)
Email
Address
Full Name
Title
Organization
Phone (
)
Email
Address
Additional comments/explanations:
For further information email, fax, or write to:
Dr. Paulinus Chigbu
or
Department of Natural Sciences
University of Maryland Eastern Shore
Princess Anne, MD 21853
Phone: (410) 621-3034
Fax: (410) 651-7869
email: pchigbu@umes.edu
Dr. Ambrose Jearld Jr. or Dr. Michael J. Fogarty
DOC/NOAA/NMFS
Northeast Fisheries Science Center
166 Water Street
Woods Hole, MA 02543
Phone: (508) 495-2318; (508) 495-2386
Fax: (508) 495-2258
Email: Ambrose.Jearld@noaa.gov
Email: Michael.Fogarty@noaa.gov
DEADLINE: Before or on March 30, 2008.
Review of application materials will begin immediately and continue until April 15.
Space in the course is limited and will be available on a first-come-first-served basis.
Candidates should submit applications as soon as possible for full consideration.
Selected students will be notified by April 30.
National Oceanic and Atmospheric Administration and University of Maryland
Eastern Shore are Equal Opportunity/Affirmative Action institutions.
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