Student Inquiry Form

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

Current Student Status

College or University Name

If your school is not listed here, select "Other" from the bottom of the list.

Other institution name

If Cornell or UNH Student please provide your numeric student ID# (not email). *

Cornell College:

Please select your college at Cornell.

Current Class/Grade

Expected Graduation Year

Month

Day

Year

Field of Study

GPA

Advisor Name:

Advisor Email:

If Cornell or UNH student, does your parent or guardian work for the institute?

Yes

Parent/Guardian Name:

Parent/Guardian Email:

Financial Assistance

SML offers financial assistance to all undergraduate students in the form of diversity, merit, and need-based scholarships. Student staff opportunities are also available. Please indicate below if you are interested in these opportunities.

Diversity

Merit Based

Need Based

Student Staff Position

Demographic Information

SML asks the following demographic questions for housing purposes only. Answers to the questions below will remain private.

Gender *

Gender Identity

Preferred Pronouns

Date of Birth

Month

Day

Year

Are you a U.S. Citizen?

Yes

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

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

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.

Other

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

For students outside of UNH and Cornell: In the last 7 years have you been convicted (including pled guilty) of any felony or a misdemeanor violent crime (e.g., assault, sexual assault, stalking, and dating or domestic violence)? *

Yes

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

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