APPLICATION

 SUMMER 2011 - Hawaii Field Studies

Submit the completed application form with a non-refundable deposit of $300.00 by April 1, 2011 to reserve a space. The balance of the $1295.00 trip fee will be due by May 2nd. The tuition fees will be due by May 13th. Applications will be accepted in the order in which they arrive. Enrollment will be limited to fifteen participants.

NAME__________________________________________      

ADDRESS_____________________________________________________________________

CITY/STATE/ZIP_______________________________________________________________

HOME PHONE___________________________________

WORK PHONE___________________________________          

FAX____________________________________________

E-MAIL_________________________________________

I am interested in enrolling in the following course or courses:

 1.  _____________________________________________________________________________

 2.  _____________________________________________________________________________

Note: This is a trip application form, not a UAM registration form. After this application form and deposit have been processed, you will receive an admission to the university application form if you are a first time enrollee or have not attended UAM in the last two semesters. You can also go to the Admissions website <http://www.uamont.edu/admissions/> and apply online.