Question Title

* 1. Student Applicant Information

Question Title

* 2. Did you attend the 2014 Biosphere 2 Science Academy program?

Question Title

* 3. PARENT / GUARDIAN INFORMATION

Question Title

* 4. BIOSPHERE 2 SCIENCE ACADEMY WEEK SELECTION (check one)

Question Title

* 5. DEPOSIT INFORMATION

If your student is selected to participate in the 2015 Science Academy, a non-refundable deposit of $250.00 will be required along with the completion of a registration packet.

Payment information:
Credit Card: Contact Nancy Boklund at (520) 838-6192
Checks: payable to U of A, Biosphere 2 (please write student's name and "Science Academy" on memo line). Mail To: Biosphere 2 Science Academy, Attn: Nancy Boklund, P.O. Box 8746 Tucson, AZ 85738

Question Title

* 6. UPON ARRIVAL, STUDENTS WILL RECEIVE
a Biosphere 2 t-shirt, hat, water bottle, and notebook.
Please indicate the shirt size needed (in men's sizes).

Question Title

* 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. IDENTIFICATION WILL BE REQUIRED.

Question Title

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

Question Title

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

Question Title

* 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 to Nancy Boklund at <nboklund@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), 2015 Biosphere 2 Science Academy"

*Why the student would be a good candidate to attend the week-long 2015 Biosphere 2 Science Academy (e.g. academic capabilities, interest in science, social skills, maturity, etc.)

*Teacher contact information

Question Title

* 11. Contact information for recommending teacher

Question Title

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

Question Title

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

For additional details about the 2015 Biosphere 2 Science Academy, including sample schedules, faculty biographies, and pricing information, please see: http://b2science.org/outreach/sciacademy
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 this Program.

T