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Contact 1
Contact Information
First Name
*
Middle Name or Initial
Last Name
*
Preferred First Name or Nickname
Email Address
*
Primary Phone
Alternate Phone
Permanent Address
Address Line 1
*
Address Line 2
City
*
State/Province
*
Zip/Postal
*
Country
*
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo, Republic Of The
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch Part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Academic Interests
Please indicate which course(s) interest you.
Introduction to the Biology of Sharks, Skates, and Rays - Section 1 (BIOSM 1640.801) - July 28th, 2025 - August 4th, 2025
Marine Environmental Science (BIOSM 1620.801) - July 28th, 2025 - August 11th, 2025
Marine Vertebrates of the Gulf of Maine- Section 1 - August 4th, 2025 - August 11th, 2025
Introduction to the Biology of Sharks, Skates, and Rays - Section 2 (BIOSM 1640.802) - August 4th, 2025 - August 11th, 2025
Marine Vertebrates of the Gulf of Maine- Section 2 - August 11th, 2025 - August 18th, 2025
Would you be interested in taking any online courses at SML?
Yes
No
I have taken any prerequisites required for the course(s) I am interested in.
Yes
No
I am not sure
School Information
High School Name
Current Class/Grade
(ex: 11th grade)
Expected Graduation Year
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
GPA
Advisor Name:
Advisor Email:
Demographic Information
SML asks the following demographic questions for housing purposes only. Answers to the questions below will remain private.
Date of Birth
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Gender
*
- Select -
Female
Male
Non-Binary
Other/Prefer to Self-Describe
Gender Identity
Preferred Pronouns
Are you a U.S. Citizen?
Yes
No
Non-U.S. citizens will require an F1 visa at the time of enrollment in SML courses.
If no, do you have an F1 Visa?
Yes
No
The F1 visa application process can be lengthy. The SML staff appreciates having as much time as possible to provide assistance to students from outside the US to secure their visa.
Ethnicity
Native American or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Pacific Islander
White
Other
Prefer to not disclose
Note: Information collected in this section is used for statistical reporting purposes only and in no way affects your eligibility for admission or financial aid. Shoals Marine Lab supports an inclusive environment as part of its academic and research mission. Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and media outlets, to provide information about the ethnic/racial backgrounds of their students and employees. To respond to these requests, we ask you to answer.
Parent/Guardian
Parent/Guardian First Name:
*
Parent/Guardian Last Name:
*
Parent/Guardian Email:
*
Is your parent/guardian an employee of Cornell University or the University of New Hampshire?
Yes
No
How did you hear about us?
How did you hear about SML?
Faculty or Advisor
Flyer, poster, or advertisement
Web search
Social media (Facebook, Twitter, Instagram, etc.)
A friend or Shoals alum
Other
Name of referral or other source