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Ocean Defenders Program Nomination Form
For our weekend-long, overnight Ocean Defenders Program, we'll be welcoming 10 BIPOC girls and gender minorities ages 15-18 to live aboard Field School’s R/V Garvin for the weekend, learning about marine conservation, trying new outdoor exploration skills, participating in a shark research expedition, and being mentored by diverse women in science!
Complete the nomination form below by September 10th to apply and you'll be notified of our decision on September 13th.
Head here to learn more about the program:
www.terranautclub.com/usa/odp2022
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Email
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Your email
Nominee Name
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Your answer
Nominee Age
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Your answer
City/Town
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Your answer
State
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Florida
Other:
Nominee's Pronouns
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She/her/hers
They/them/theirs
He/him/his
Other:
Nominator Name
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Your answer
Nominator E-mail
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Your answer
Nominator Phone Number
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Your answer
Parent/Guardian Name (if not nominator)
Your answer
Parent/Guardian E-mail (if not nominator)
Your answer
Parent/Guardian Phone Number (if not nominator)
Your answer
How do you know your nominee?
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Parent/Guardian
Teacher
Coach
Community Group Leader
Other:
This program is for BIPOC girls and gender minorities. Please specify which community your nominee identifies with.
African-American
Indigenous/Native American
Hispanic/Latinx
Other:
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How did you find out about this program?
Through Terranaut Club
Through Minorities in Shark Sciences (MISS)
Through the American Shark Conservancy
Other:
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Tell us about your participant. What makes them special? (5-10 sentences)
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Your answer
How would your participant benefit from this program? (5-10 sentences)
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Your answer
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