PALAU May Term 2024 Travel Course Application
Please fill out this application only after you have reviewed the course details.  Email Dr. Stelle (leilani_stelle@redlands.edu) if you have questions.  All applicants will be interviewed to select the students for this opportunity.
Sign in to Google to save your progress. Learn more
Name (first and last) *
Preferred Pronouns (may select more than one) *
Required
Contact email *
Contact Phone *
Major? *
Year? *
Cumulative GPA?
Note: if less than 2.0, I encourage you to work on improving it and then apply.
 *
List any courses or travel experiences you've had that may be relevant for the Palau course *
What is your dive/snorkel experience? Select all that apply *
Required
Describe any scuba/snorkel experiences; including approximate number of dives and locations
List other Ocean Experience (ocean swimming, surfing, boating, kayaking, etc.)
 *

What do you consider to be your best traits, skills, or talents?

*
What are your weaknesses? *

Do you have any special needs or limitations (health issues, dietary requirements, fear of flying, etc.) that the instructors should be aware of in the event that you participate in this course? Treated as confidential

Which of the following would be hardest to go without during 2 weeks in Palau? *

Why should we select you to be part of the Palau expedition team? (a short paragraph will do)

 *
Please provide the name and contact information of 2 references; at least 1 should be a UR faculty or staff member. *
Check below to acknowledge that you agree to follow all course policies and expectations, and that anyone violating rules may be sent home at their own expense. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms