Marine Mammal Biology Option

Session 2010–2011

I would like to apply for a place on the Marine Mammal Biology Option in the summer vacation (10 days mid July). I understand that in order to attend the field course, I shall be required to:

1. provide all of the details requested on page 1 of this form
2. pay the full course cost of £650*. A deposit of £50 is required and full balance paid 1 month prior to the start of the course.
3. attend any/all of the information sessions prior to the field course.

*Accommodation will be provided at the University Marine Biological Station (UMBSM) student hostel (single sex twin room) and at Arle Lodge, Mull http://www.arlelodge.co.uk/ (single sex 2-4 per room). All meals will be provided at UMBSM but on Mull it is self catering and you must pay for your own meals for 4 days. Please note that numbers are limited on this course.

Any information supplied is protected by the Data Protection Acts and will remain confidential to the University of Glasgow.

* Compulsory, must be filled in.

1 Please note that your NAME(S) must be exactly as shown on your passport.

Student ID Number	*
Surname ^1	*
Forename(s) ^1	*
Date of Birth
Degree Course	*
Mobile Phone Number	*
Term Address	*
Telephone Number	*
Summer Address	*
Telephone Number	*
Name, Address of General Practitioner	*
Telephone Number	*
Name, Address of Next of Kin	*
Relationship	*
Telephone Number	*

Health Information yes no

1. Do you suffer from any condition that would prevent your full participation in this field course, including field work on research vessels in cold wet weather?

2. Do you suffer from any condition that might require medical intervention during this field course?

(If you have answered ‘YES’ to any of questions above, you will be contacted by the field course organisers so that suitable arrangements can be made).

Motivation: Please state why you are interested in this option