ENVSCI/ENVSTY 321L Spiders of Nantucket

Page 1

Personal Information

First Name:

Last Name:

Phone:

Email:

Mailing Address

Address:

City:

State:

Home Address

Address:

City:

State:

Health Insurance

PLEASE NOTE: You must show proof of Health Insurance during your stay on Nantucket

Name of Health Insurance Company:

Policy Number:

Page 2

Emergency Contact

First Name:

Last Name:

Relationship:

Phone:

Email:

Page 3

Academic History

Name of Institution Presently Attending:

Matriculated:

YesNo

Major:

Minor(s):

Cumulative GPA on 4.0 Scale:

Please list science courses you have taken in college:

Page 4

Program Preference

Please see the course description below For ENVSCI/ENVSTY 321L:

Explore biodiversity through the lens of spiders as well as the varied habitats on Nantucket Island. Gain field experience collecting and identifying species of spiders as you build a collection and possibly find new species!

With housing: $ (includes housing, fees and tuition*)
Without housing: $ (includes fees and tuition* only not housing)

Please indicate which course you are applying to and your housing preference.

Environmental Studies/Science 321 L with housingEnvironmental Studies/Science 321 L without housing

Gender:

FemaleMaleNon-binaryPrefer not to say

Page 5

Application Certification

TRAVEL ARRANGEMENTS

Program participants are responsible for making their own travel arrangements to and from Nantucket Island. Information on ferries will be provided.

TERMS AND CONDITIONS

TOTAL FEES

With housing: $ TBA (includes housing, fees and tuition)
Without housing: $ TBA (includes fees and tuition)

Bunkhouse housing provides two bathrooms and two bedrooms of bunkbeds, shared full kitchen, dining room, and conference/lounge space.

*Please note: the fees do not cover meals, books, insurance, or travel to and from Nantucket Island.

THE APPLICATION DEADLINE IS June 15, 2024.

The University of Massachusetts Boston cannot assume responsibility for any sickness or accident incurred by the student during his or her stay on Nantucket Island, nor does the University provide any casualty or health insurance. Participants are required to provide proof of health insurance coverage before registering for the program.

I UNDERSTAND THAT PARTICIPATION IN THIS PROGRAM IS GOVERNED BY THE ABOVE TERMS AND CONDITIONS TO WHICH I CONSENT TO BE BOUND.
In place of your signature, please type your full legal name

If applicant is under 18, please type the parent of guardian's full legal name in place of signature

UMass Boston

Menu