College Application

Marine Science And Nautical Training Academy
MANTA
College Student Application (*Required Field)

    Student Applicant Information
    *First Name
    *Middle Name
    *Last Name
    Nickname
    *Email Address
    *Date of Birth
    Country of Citizenship
    *Male/Female
    *Telephone
    *Address
    *City
    *State
    *ZIP
    Passport Number
    Passport Expiration Date


    Parent/Guardian Information
    *Mother's Name
    *Home Phone
    *Address
    *Email
    Place of Employment
    Work Phone
    *Father's Name
    *Home Phone
    *Address
    *Email
    Place of Employment
    Work Phone
    *Which parent is first point of contact

    Student Merit/Eligibility Information


    *College/University Name
    *Year
    *Current GPA
    *College Major
    If undecided major, which majors are you considering
    *List of biology, marine biology, environmental science courses that you will have completed before this trip.
    *List of Extracurricular activities
    *Level of SCUBA certification (no experience necessary)
    *If SCUBA certified, what was the certifying organization (e.g., PADI, NAUI)
    In 5 sentences or less, describe why you want to enroll in MANTA's program and what do you hope to gain from the experience
    A recommendation may be required before acceptance into the MANTA program. While the MANTA program is a unique experience, it is physically, socially and academically challenging. Please identify a professor that can provide a recommendation for you, and they may be contacted.
    Recommending Professor Information


    *Have you asked your professor if they are willing to give you a recommendation
    *Professor's Full Name
    *Professor's Affiliation (e.g., School Name)
    *How do you know this professor (e.g., Biology professor)
    *Professor's Email

    please complete question to discourage spam:   + 27 = 37