Online Application - Round River Conservation Studies

Round River Student Program Application

Personal Information

Legal Name *

First

Middle

Last

Preferred Name

What would you like to be called?

Date of Birth *

Preferred Pronouns

Email (primary) *

Email (alternate)

Phone *

How did you hear about Round River? *

From friends/alumni, faculty, online search, study abroad office, Round River representative, etc.

Application fee payment

Fee Waiver Promo - Use code FALL24GO
Pay online with a credit or debit card
Other

Through October 10th, 2024 use fee waiver promo code FALL24GO to waive your application fee on the next page. Let's go! Outside of fee waiver promo period... A $50 application fee is required for your application to be processed. When you submit this form you will be redirected to the online payment page. You also have the option to mail check or money order to our main office address or pay over the phone (details provided on payment page).

Current Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Permanent or Billing Address (if different from above)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Parent or Guardian Primary Contact

Full Name *

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Second Parent or Guardian Primary Contact

Full Name

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Academic Information

Current School *

Academic Standing *

Major *

Intended Graduation Date (month/year)

Program Selection

First Program Choice *

Semester/Term *

Year *

Second Program Choice

Third Program Choice

If my first choice is full *

Assign my second or third choice
Contact me

Academic Reference

Academic Reference Full Name *

Academic Reference Title and/or Department *

Academic Reference Email *

Academic Reference Phone *

Personal Reference

Personal Reference Full Name *

What is your relationship to this person? *

Personal Reference Email *

Personal Reference Phone *

General Information

Extracurricular activities *

Describe your outdoor experience *

Conservation issue(s) of greatest concern *

Personal Statement *

Please write a 2-3 paragraph personal statement that addresses the following topics: your particular interest in attending a Round River program, your interest in conservation, and your strengths and/or weaknesses working with other people.