Marine Ambassador Camp 2014 Application

The camp is now full. 

Additional applications will be put on a waiting list in case of cancellations

Camp Information:

     Where - Oregon State University, Corvallis and Newport, OR
     When - August 3-8, 2014

The six day 4-H Marine Science Camp will take place on the Oregon State University (OSU) campus for one day and one night and in Newport at the Hatfield Marine Science Center (HMSC) for four days and nights. Transportation is provided between OSU and Hatfield. On the OSU campus youth will get a taste of dorm life, tour the campus and some research labs, and be introduced to their role as 4-H Marine Science Ambassadors. In Newport campers will engage in education programs in a variety of locations including the Hatfield Marine Science Center, Yaquina Bay, and Yaquina Headland Natural Area. Youth will explore and conduct research in the Yaquina Bay estuary via guided kayak expeditions. Additional program activities will be planned based on the interest of registered youth participants.

The 4-H Marine Science Ambassador Camp will enroll just 32 participants entering the 10th, 11th, or 12th grade in the fall of 2014. Oregon resident students currently in grade 9, 10, or 11 and who have an interest in science, technology and mathematics are eligible. Applications from historically underserved and underrepresented students with limited opportunities are encouraged. There will be a focus on introduction to college life, science and technology and public education that will provide each camper with the knowledge and skills they need to become 4-H Marine Science Ambassadors. The 4-H Marine Science Ambassador’s Mission is to raise awareness about the health of the ocean and to show how changes are impacting various ecosystems and human life.

 

4-H Marine Science Ambassador Application Process:

  • Parent/Guardian and student complete the student application form below. We need a printed copy of the application for signatures.  BEFORE you click the submit button use your browser's "File->Print" menu to print out a copy of your completed form. Then click the submit button.  (The "Printer Friendly" link at the bottom of the page doesn't retain your information)
  • Obtain the signature of your county 4-H agent on the form you have printed before you mail the form. (Applicants do not have to be enrolled in the 4-H program, but still need to get the agents signature so they know who is attending from their county).  Find your county 4-H agent
  • The camp fee is $275.  Please submit a $125.00 deposit fee by check by March 14, made out to the “Oregon 4-H Foundation”, along with your printed and signed form via mail.  This fee is non-refundable for youth accepted into the camp program.  The first 21 to apply are accepted, so the fee is refunded if you are not one of the first 21 youth to apply.
  • The final payment of $150 is due by April 25.

 

Please send the completed and signed form and the deposit check in one envelope. The documents are to be mailed to Marine Science Camp Coordinator, 4-H Program, 106 Ballard Hall, Oregon State University, Corvallis, OR 97331 by the deadline date, March 14, 2014. If all requested documents are not received by the deadline date, the application will not be considered.  You will receive notification on the status of the application no later than April 4, 2014.  Providing an email address greatly speeds the notification process.  If you have questions or need additional information, contact our Camp Coordinator, Andy Hoffmann, call 541-737-1322 or email at andy.hoffmann@oregonstate.edu.

NOTES: When filling out the form below to register for the Marine Scienc Camp:

  • Use the Tab Key or Mouse to move to each blank. (Hitting Enter will submit the form, but will give an error if all required blanks are not filled in.)
  • It might be easier for some to prepare the text for your answers to the last three questions in another program, like Word, and cut and paste them into the box.

Information about your activities. Mark all that apply

Ethnic information, Mark all that apply.

(enter "other" information in box above)


List the science classes you have taken in the past two years and final grade for each class.

Please list school organizations, any science and/or mathematics activities (Science Fair, math club, after school programs, summer programs, etc.) you have participated in. Include awards received and offices held. Also, list any other activity or achievement that you would like to share. You may attach a separate sheet, if needed.

Please tell us in a few sentences why you want to attend the Marine Science Camp:



_________________________________________________ Date:_____________
Signature of Camper Applicant


I support my son’s / daughter’s application to the 4-H Marine Science Ambassador Camp. I understand that campers will live on the OSU campus and at a school in Newport. They will travel in vans and participate in activities on and around water environments (i.e. bays, ocean). I understand that campers must come to camp with their own personal supplies, clothing, backpack, pillow, sleeping pad and sleeping bag or bedding. I understand, and will support the rule, that any use of cell phones during camp activities is prohibited.


_________________________________________________ Date:_____________
Signature of Parent/ Guardian


_________________________________________________ Date:_____________
Signature of County 4-H Agent or Agent’s Representative
(Applicants do not have to be currently enrolled in the 4-H program.)


DON'T FORGET TO PRINT BEFORE YOU SUBMIT!
You need a paper copy to get signatures!

BEFORE you click the submit button use your browsers "File->Print" menu to print out a copy of your completed form. Then click the submit button. (The "Printer Friendly" link below doesn't retain your information)
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