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SEA Camp Application Form

This document is an application form for a SEA (Sea, Earth, Air) Camp program. It requests basic contact information as well as emergency contact details. Educational and organizational affiliations are also solicited. Questions inquire about medical conditions, allergies, diets, languages spoken and certifications for scuba diving. Applicants are asked to choose between snorkeling, an introductory scuba course or coastal cleanup. The form also asks how the applicant heard about the program and any involvement in past government programs. Short essay questions address reasons for interest, community conservation issues, plans to apply lessons learned, and potential environmental action plans.

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patricia_moran_4
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19 views

SEA Camp Application Form

This document is an application form for a SEA (Sea, Earth, Air) Camp program. It requests basic contact information as well as emergency contact details. Educational and organizational affiliations are also solicited. Questions inquire about medical conditions, allergies, diets, languages spoken and certifications for scuba diving. Applicants are asked to choose between snorkeling, an introductory scuba course or coastal cleanup. The form also asks how the applicant heard about the program and any involvement in past government programs. Short essay questions address reasons for interest, community conservation issues, plans to apply lessons learned, and potential environmental action plans.

Uploaded by

patricia_moran_4
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORM

Complete Name:
Address:

Sex:

Nickname:

M Landline:

Email Address:

Birthdate:
Twitter Username:

Facebook Name:

Mobile Number:
Blog:

EMERGENCY CONTACT INFORMATION


Name:
Contact Number
& Email Address:
Relationship:

EDUCATIONAL ATTAINMENT
School:
Year of Study & Degree (If Applicable):

ORGANIZATIONAL AFFILIATIONS (Maximum of 3)


Name of Organization

Role and Period of Membership

How did you find out about this program?


Do you have any medical illnesses or disabilities?
Please put N/A if none. If yes, what are they and
what kind of medication or attention do these
require?
Do you have any allergies? Please put N/A if none.
If yes, what are they?
Do you have a special diet? (e.g., vegetarian, vegan,
Halal) Please put N/A if none.
What languages do you speak?
Are you a SCUBA diver? Please put N/A if no.
If yes, please indicate what level of certification.
The SEA Camp will require you to join one of the
three activities: snorkeling, a PADI Discover Scuba
Diving course, or a coastal cleanup. All materials,
certification, and equipment will be provided.
Which one would you like to participate in?
What is the location of the SEA Camp that you are applying for?
Luzon (Batangas)

Visayas (Negros Oriental)

Have you ever participated in a U.S. Government program?

Yes

Mindanao (Tawi-Tawi)
No

If yes, what program and when?

Please answer the following questions in five sentences or less.


Why do you want to be part of the SEA Camp?

Please describe any work, volunteer, and/or extra-curricular (clubs, sports, hobbies) you have participated in during the
last two years.

What is the most important conservation issue in your community that needs to be addressed? What is being done about
it? What else can be done about it?

What will you do with what you learned during the SEA Camp? Where would you apply the lessons learned?

Do you have an action plan or solution to help your communitys environment? If so, briefly explain.

Name and Signature of Applicant


By signing this application, I certify that the statements herein
are true, complete and accurate to the best of my knowledge.

Date signed

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