RBML Application

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ROSARIO BEACH MARINE LABORATORY

Application for students who are not current Walla Walla University students

Personal Information

Last Name*

Legal First Name*

Preferred First Name (what should we call you?)

Birthdate*

Gender*

Male Female

Social Security Number*

Current Contact Information

Current Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Additional Address Information (if needed)

Address Line 1

Address Line 2

City

State

ZIP Code

Current/Cell Phone Number*

Current Email Address*

Permanent Contact Information

Same as current contact information?*

Yes No

Permanent Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Phone*

Academic Information

School where you are currently enrolled*

Your College/University Academic level during summer*

FR SO JR SR GRAD

Your Major*

Your Minor

Approximate number of College/University Credits you will have completed prior to summer

College/University Credit Type

Quarter Hours Semester Hours

Have you been enrolled at WWU before?

No Yes

WWU ID Number (If Known)

Housing Needs At Rosario

Requested Type of Housing*

Single None (living off-campus) Married/Family

People Accompanying You

(please provide ages of children)

Do you have your own means of transportation while at the Rosario Marine Laboratory?*

Yes No

Would you like a meal plan?

Yes No

You will be sent an email with costs and other details after application is received.

Dietary Restrictions

(e.g. Vegan, Gluten Free, Nut Allergy)

Courses At Rosario

You may apply to take upper division courses OR General Biology.

Students may NOT apply for both upper division courses and General Biology.

Students taking upper division classes must take at least one Marine class to fulfill marine requirement.

I am applying to take*

Upper Division Courses General Biology Research only (need pre-approval)

Upper Division

Block A Class*

Block B Class*

General Biology

Students applying to take only one or two quarters of General Biology are accepted on a space-available basis after students applying to take all three quarters have been accepted.

Choose the quarters you are applying to take (taking all three quarters is equivalent to taking two semesters).

141 142 143

Final Information

Do you have any questions? Any additional information you want to share?

How did you find out about the academic program at the Rosario Beach Marine Lab?

Your application will be processed when the required $60 fee has been received. The fee is non-refundable.

Payment Amount $

Credit Card*

Account Code

ROSARIO BEACH MARINE LABORATORY

Application for students who are not current Walla Walla University students

Personal Information

The following information is required for statistical reporting:

Current Contact Information

Permanent Contact Information

Academic Information

Housing Needs At Rosario

Courses At Rosario

Upper Division

General Biology