2017 Biosphere 2 Science Academy Application

1. A Week of Research, Collaboration, and Leadership

Middle School, 7th-9th Grade, July 9th-15th, 2017
High School, 9th-12th Grade, July 16th-22nd, 2017

Please preview application below and make sure you have all the information you need before you begin. It is not always possible to save your responses part way through or return later to the same form. For best results, complete form and submit in one session.

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* 1. Student Applicant Information

Last Name:

First Name:

Age on July 1st, 2017:

Date of Birth:

Gender:

Nickname (or what student prefers to be called):

SCHOOL NAME, City and State (Spring 2017):

SCHOOL NAME, City and State (Fall 2017):

Grade in Fall 2017:

Home Address:

City:

State:

Zip code:

Home phone:

Parent cell phone:

Preferred Email Address:

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* 2. Did you previously attend the Biosphere 2 Summer Science Academy?

Yes, I attended in 2014.

Yes, I attended in 2015.

Yes, I attended in 2016.

No, I did not attend any year.

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* 3. PARENT / GUARDIAN INFORMATION

Parent/Guardian 1:
Last Name

First Name:

Primary Phone Number:

Secondary Phone Number:

Email Address:

Parent/Guardian 2:
Last Name

First Name:

Primary Phone Number:

Secondary Phone Number:

Email Address:

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* 4. BIOSPHERE 2 SUMMER SCIENCE ACADEMY WEEK SELECTION (check one)
[Students entering 9th grade in fall 2017 should choose week based on academic preparation and social maturity.]

July 9- 15, 2017 (for rising 7- 9th grade students)

July 16- 22, 2017 (for rising 9 -12th grade students)

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* 5. DEPOSIT INFORMATION
If your student is selected to participate in the 2017 Summer Science Academy, a non-refundable deposit of $250.00 or full payment will be required along with the completion of a registration packet. (Balance due depends on date paid, please see Science Academy website for pricing schedule.)

I acknowledge that a non-refundable deposit of $250.00 or full payment will be required should my student be selected.

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* 6. UPON ARRIVAL, STUDENTS WILL RECEIVE
a Biosphere 2 t-shirt, hat, water bottle, and notebook.
Please indicate the shirt size needed (in adult unisex sizes).

Extra-Small

Small

Medium

Large

X-Large

2X-Large

Other Size (please specify)

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* 7. DROP-OFF and PICK-UP AUTHORIZATION

Please only provide names of those, OTHER THAN parents/guardians listed above, who are authorized to pick up your student. PHOTO IDENTIFICATION WILL BE REQUIRED.

Authorized Person 1:
(last name)

Authorized Person 1:
(first name)

Authorized Person 1: (relationship)

Authorized Person 1: (phone number)

Authorized Person 1: (email address)

Authorized Person 2:
(last name)

Authorized Person 2:
(first name)

Authorized Person 2: (relationship)

Authorized Person 2: (phone number)

Authorized Person 2: (email address)

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* 8. CHECK-IN and CHECK-OUT:
Sunday Student Check-in: Noon - 3PM
Saturday Student Symposium: 10AM, FAMILIES ARE INVITED & WELCOME!
Saturday Student Check-out: Noon - 2PM

Yes, I would like Biosphere 2 to provide student transportation TO and/or FROM the Tucson International Airport ($50 each way per student). IMPORTANT: Schedule arrival flights on Sunday mid-morning; schedule departure flights on Saturday afternoon. We will follow up regarding details.

No, thank you, student will NOT need transportation TO and/or FROM the Tucson International Airport (TUS).

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* 9. Student Essay Response: Please describe briefly your expectations of the 2017 Biosphere 2 Summer Science Academy, what you hope to gain from the experience, and why you should be selected. (Response should be from student applicant, 350 words or less.)

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* 10. Teacher Recommendation: Please ask a current or recent teacher to provide a recommendation for the applying student. The recommendation should be sent via email from the teacher to the Program Coordinator at b2sciacad@email.arizona.edu.

The recommendation should include, but not be limited to, the following information:

In the email subject line, please type: "Teacher Recommendation for (name of applying student), 2017 Biosphere 2 Summer Science Academy"

Why the student would be a good candidate to attend the week-long 2017 Biosphere 2 Summer Science Academy (e.g. academic capabilities, interest in science, social skills, maturity, enthusiasm, etc.)

*Teacher contact information (including name, school, grade & subject, email address, phone number)

I have asked, or will ask, a teacher to submit a recommendation on my behalf.

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* 11. Contact information for recommending teacher

Teacher's Name:

Teacher's email address:

Teacher's phone number:

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* 12. How did you hear about the Biosphere 2 Summer Science Academy?

Biosphere 2 Website

Social Media (e.g. Facebook)

School or Teacher

Biosphere 2 Visit

Print Media (e.g. flyer)

Other (please specify)

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* 13. ADDITIONAL INFORMATION THAT YOU MAY WANT TO SHARE:

For additional details about the 2017 Biosphere 2 Summer Science Academy, including sample schedules, faculty biographies, and pricing information, please see: http://b2science.org/education/student-science-academy

Your voluntary submission of this form electronically serves as your signature in place of a traditionally signed form. By registering, submitting payment, and completing the required forms online you are authorizing that the information is correct and you are in agreement with the terms and conditions of the Biosphere 2 Summer Science Academy Program.

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* 1. Student Applicant Information

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* 2. Did you previously attend the Biosphere 2 Summer Science Academy?

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* 3. PARENT / GUARDIAN INFORMATION

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* 4. BIOSPHERE 2 SUMMER SCIENCE ACADEMY WEEK SELECTION (check one)[Students entering 9th grade in fall 2017 should choose week based on academic preparation and social maturity.]

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* 6. UPON ARRIVAL, STUDENTS WILL RECEIVEa Biosphere 2 t-shirt, hat, water bottle, and notebook.Please indicate the shirt size needed (in adult unisex sizes).

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* 7. DROP-OFF and PICK-UP AUTHORIZATIONPlease only provide names of those, OTHER THAN parents/guardians listed above, who are authorized to pick up your student. PHOTO IDENTIFICATION WILL BE REQUIRED.

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* 8. CHECK-IN and CHECK-OUT:Sunday Student Check-in: Noon - 3PMSaturday Student Symposium: 10AM, FAMILIES ARE INVITED & WELCOME!Saturday Student Check-out: Noon - 2PM

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* 9. Student Essay Response: Please describe briefly your expectations of the 2017 Biosphere 2 Summer Science Academy, what you hope to gain from the experience, and why you should be selected. (Response should be from student applicant, 350 words or less.)

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* 11. Contact information for recommending teacher

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* 12. How did you hear about the Biosphere 2 Summer Science Academy?

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* 13. ADDITIONAL INFORMATION THAT YOU MAY WANT TO SHARE:

* 4. BIOSPHERE 2 SUMMER SCIENCE ACADEMY WEEK SELECTION (check one)
[Students entering 9th grade in fall 2017 should choose week based on academic preparation and social maturity.]

* 6. UPON ARRIVAL, STUDENTS WILL RECEIVE
a Biosphere 2 t-shirt, hat, water bottle, and notebook.
Please indicate the shirt size needed (in adult unisex sizes).

* 7. DROP-OFF and PICK-UP AUTHORIZATION

Please only provide names of those, OTHER THAN parents/guardians listed above, who are authorized to pick up your student. PHOTO IDENTIFICATION WILL BE REQUIRED.

* 8. CHECK-IN and CHECK-OUT:
Sunday Student Check-in: Noon - 3PM
Saturday Student Symposium: 10AM, FAMILIES ARE INVITED & WELCOME!
Saturday Student Check-out: Noon - 2PM