Ocean Mammal Institute

Registration Information for
OMI Research Internship 2018

January 2, 2018 to January 19, 2018

REGISTRATION IS OPEN.
Important Considerations:
The Application Process:
  1. Complete this registration form via the Internet. (Once you press the submit button at the bottom of the form your answers to the “Selective Questions” cannot be changed.) NOTE: Please make only one application with all requested information filled in.
    (If you prefer not to register online, please contact chelseyg956@hotmail.com)
  2. Pay a deposit of $150.00 using PayPal or with a check made out to “OMI”.     Click here for Internship Payments
  3. OMI will review the application after the deposit and the registration form are both received.
  4. If you are NOT selected to attend the Internship your deposit will be refunded in total.
  5. If you are selected to attend the Internship your space will be considered filled only after full payment is received by OMI.
  6. You can pay the total due by PayPal (with or without a PayPal account), or with a check to OMI.
    (NOTE: Only VERIFIED PayPal Accounts can send more than $2000 (total) per month.)
  7. Remember: You are responsible for your own airfare and food costs.
  8. Cancellation Policy:
    If cancellation is received in writing on or before 20 September 2017, your total payment, less an administrative fee of $50.00, will be refunded.
    If cancellation is received after 20 September 2017, only $1500.00 of the total $2850.00 will be refunded due to non-reimbursed condo expenses.
    If OMI has to cancel the trip, the total $2850.00 will be refunded. Airfare (or other incurred losses) will not be reimbursed by OMI.

Registration Form for OMI Research Internship 2018

YES! I would like to register for:   Field Research on the Hawaiian Humpback Whale

Arrive January 2, 2018 and depart January 19, 2018.

Here is My Info:     ( If a field is Not Applicable, please type: NA )


Full Name:   
 FirstLast  
Home Address: 
 Street
      
 CityState       Zip
    
Home Phone: ()    Cell Phone:()   
 (Area)    Phone Number (Area)    Phone Number
Home E-Mail: 

Your School Name: 
  
Your School Address: 
For Contacting You
 Street
      
 CityState       Zip
    
Your School Phone:  ()   
 (Area)    Phone Number
Your School E-Mail: 
For Credit: Will you be applying for college credit through your school?
No    Yes   If Yes, Fill in Faculty Advisor info below
  Faculty Advisor:  
Faculty Advisor Phone:  ( )   
Faculty Advisor E-Mail:  

Age:   Age on 1/2/2018         Gender:   Male    Female
Comments or Questions: 

My Pledge to OMI:  I understand that research is the priority during this internship and that I will be asked to leave if my behavior interferes with this research.
My Initials:     Date:   ( MM/DD/YYYY )
If Under Age 18: Name of Parent/Guardian:
Note: If you are accepted, we will need their written permission for your participation.

Selective Questions:

1. What is your field of study?
2. Why should you be selected to attend this internship? (Limit to 150 words. Do not use apostrophes or quotation marks.)
3. List 3 References. Provide their name, relationship to you, their phone number and e-mail address.
   a.
Name

Relationship
  ()
(Area) Phone Number

E-Mail

   b.
Name

Relationship
  ()
(Area) Phone Number

E-Mail

   c.
Name

Relationship
  ()
(Area) Phone Number

E-Mail

Regarding My Deposit

I plan to send my $150 deposit to OMI via:    Paypal    Check


Security Code:

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Know that Whales and Dolphins are VERY Intelligent!


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