A) Personal
Information:
Name:
Current (eg. School) Contact Information:
Optional Permanent or Alternate (eg. Home) Contact Information (if different
from above):
Housing requests or concerns (e.g. allergies, disabilities,
etc.):
Sex (for
dorm assignments):
Female
Male
Your current college or university:
Expected date of graduation:
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Year:
2008
2009
2010
2011
2012
2013
Your major:
Your overall GPA and your major GPA if available:
Overall GPA:
Major GPA:
How did you learn about Mountain Lake? Check all that
apply .
Brochure, Poster or Display made available through my school.
Brochure sent directly to me.
Web site.
Current or former Mountain Lake student.
Current or former Mountain Lake faculty.
Instructor or Advisor.
On-line database or student opportunities clearing house.
If your have been to Mountain Lake Biological Station before, when? And in what capacity?
B) Course Selection 2010:
Enrollment is limited to one course per Session.
Session I:
Fish Ecology ( (BIOL 4510/7510 section 1, 4cr), Jamie Roberts III *
Biology of Invasive Species (BIOL 4510/7510 section 2, 4cr), Lorne M. Wolfe and Leslie J. Rissler *
Biological Research (by special arrangement only; BIOL [var ], 1-6cr):
Select 1-6 credit hours:
1
2
3
4
5
6
Session II:
Plant Conservation and Diversity: Bioinformatics, Systematics, and Field Techniques ( BIOL 4510/7510 section 3, 4cr), Zack Murrell
****CANCELLED**** Field Biology for Science Educators (BIOL 4510/7510 section 4, 4cr), Bronwyn H. Bleakley *
Biological Research (by special arrangement only; BIOL [var ], 1-6cr).
Select 1-6 credit hours:
1
2
3
4
5
6
Session III:
Field Herpetology (BIOL 4510/7510 section 5, 3cr), Kristine L. Grayson and Linda Green *
Field Methods in Wildlife Ecology (BIOL 3510 section 1, 3cr), Tami S. Ransom and Eric B. Liebgold *
Biological Research (by special arrangement only; BIOL [var ], 1-6cr). Select 1-6 credit hours:
1
2
3
4
5
6
* If course is marked with an '* ' applicant must
remember to indicate that they "intend to work with vertebrate animals" in the "Field Station Risk Acknowledgement Application " (Liability Waiver) form following this application.
Do you qualify for University of Virginia "in-state resident"
fees?
Yes
No
If you answered "No" above, what is your state
or country of residence?
Are you an undergraduate or graduate student?
Undergraduate Student
Graduate Student
Please list all colleges or universities attended, with
degrees (if any) and dates:
Please submit a full copy of your college transcripts. UVA student transcript are available to our office automatically, so UVA students do not need to send in a copy of UVA transcripts.
Send to:
Director
University of Virginia
Mountain Lake Biological Station
P.O. Box 400327
Charlottesville, VA 22904-4327
eml: mlbs@virginia.edu (scanned attachments OK)
fax: 434-982-5626
Credit: Courses at Mountain Lake are part of
the Summer Session of the University of Virginia. Courses
may be taken for graduate or undergraduate credit.
Fees and Payment: Textbooks are purchased
and fees are paid during on-site registration when you arrive.
Students pay room, board, and group insurance, in addition
to tuition. No student can register without payment of all
fees. All checks must be made out to "University of Virginia." Fees are subject to change. Credit
cards are NOT accepted for course fees.
C) MLBS Financial Aid Request (Optional):
Review of applications for
financial aid begins March 15 .
Complete this section (C) only if you wish to be considered for some kind of financial assistance.
Tuition
Scholarships and Work-Study Scholarships are available
based on your academic record and financial need. Statement of need
and letter of recommendation are required.
Check which kind of aid you are applying for? You
can apply for both :
Work Study Scholarship - provides room and board only. Duties involve daily work setting-up and cleaning-up the dining
hall, cleaning the laboratory, grounds maintenance and assisting
with opening and closing of the Station. Slightly early arrival
and late departure may be required. Work load varies over
the summer, but every effort is made to accommodate class
schedules and demands.
Tuition Scholarships - provides course tuition only. No duties are required.
Statement of Financial Need: Please provide a brief statement of financial need as it relates to your ability to enroll in a course at MLBS (no official tax forms are required):
Letter of Recommendation:
Please submit one letter of recommendation from a faculty member or similar academic instructor or advisor who knows you and your potential . Referee may send
letter directly to MLBS or you may send it provided it is sealed
and signed by the referee.
Send to:
Director
University of Virginia
Mountain Lake Biological Station
P.O. Box 400327
Charlottesville, VA 22904-4327
eml: mlbs@virginia.edu
fax:
434-982-5626
D) Review this Section and Continue: