Name                                                   

College or University you are attending

Class of

Intended Major

Email

Phone

Possible times for an interview

Citizenship

Please submit a copy of your passport along with your application form!

Why are you interested in taking this course?

Relevant skills and personal concerns
Please indicate one of the options below.

Medical concerns
(Please be honest--your life may depend on it!  There are no medical facilities on the island and the nearest hospital is several hours away.)

Are you allergic to insect stings or do you have other severe allergies? No Yes

Phobias (irrational fear of insects, snakes, spiders, sharks etc.)? No Yes
If yes, please specify:

Medication required periodically? No Yes
If yes, what are they required for, are they available in the Caribbean, and do they require refrigeration?

Do you have any other major medical problems? No Yes
If yes, please specify:

To apply please submit this form on-line or send it to Martina Königer, Department of Biological Sciences, Wellesley College, Wellesley, MA 02481 by April 1, 2008.  We will contact you for an interview that week and tell you by April 7th whether you were accepted into the course or not.  You will need to commit to the course by April 14, 2008.

The cost for this course has yet to be finalized but it will be roughly $5,800.  This includes airfare between Boston and Little Cayman, food and lodging for the two weeks in the Caribbean.  Travel with the group is mandatory for inclusion in this program, no personal arrangements or ticket alterations can be accommodated.