The packet contains
important details about the course, including prerequisites, schedule, topics for
lectures and activities, what to bring, etc, etc. You should be familiar with this
information before you apply!
The recommendation form must be completed and signed by a professor
or employer. Go to the recommendation section below to download the recommendation
form, or email it directly to your reference.
4) Submit Undergraduate Transcripts
Please submit official transcripts from all undergraduate universities
you have attended.
5) Obtain and Submit a Letter of Health
To ensure that course participants are in good physical condition
and are able to meet the requirements of a field course, it is necessary that your
health be certified by a qualified physician. Have your doctor or clinic
complete a physical examination of you within 1 months of the date of your application,
and submit a signed letter stating that you are in good physical condition and have
no health problems that would prevent you from participating in this course.
6) Send in your $100 Application Fee**
Applicants from US universities must submit the application fee to the University
of Wisconsin's Office of International Programs (if you are a UW student, you
will be billed for the fee). If you are accepted, the fee will be deducted from
your final tuition payment. To submit the application fee, please download the UW
IAP Deposit Ticket.
Applicants from universities outside the US must submit all application
materials directly to Ceiba, and include the application fee (**not applicable
to US students). If you are accepted and enroll in the course, your application
fee will be discounted from the course tuition. The application fee is
payable by check, money order or wire transfer, contact
Ceiba for
wire transfer and other information.
SUBMIT MATERIALS: Please
submit all application materials to the University of Wisconsin's Office of International
Programs. If you are applying from outside the USA, please submit all materials
to the Ceiba Foundation:
UW Office of International
Academic Programs
250 Bascom Hall
500 Lincoln Drive
Madison, WI 53706
Email: peeradvisor@bascom.wisc.edu
Tel: (608) 265-6329
Fax: (608) 262-6998
Ceiba Foundation for Tropical Conservation Education Programs
1202 Williamson Street
Madison, WI 53703 USA
Fax: (608) 227-0141
Acceptance and Enrollment
Acceptances will be mailed to you within approximately two weeks of the deadline
at which your application was received. If you are accepted to the course, your
acceptance packet will include the following enrollment materials and instructions
on how to enroll. You must confirm your enrollment in the course by submitting
these materials.
1) Enrollment Form
2) Certificate of Insurance Coverage
3) Travel Itinerary Form
4) Liability Release Waiver
5) Tuition Payment
In the event that you cannot participate, your tuition is fully refundable up
to 60 days before the course starts. A 50% refund will be granted if you decide
you cannot participate 30-60 days before the course start date. No refunds will
be given within 30 days of the course start date, or if a student is prevented from
participating due to failure to provide the required documentation described herein.
Exceptions to this refund policy will only be considered in the case of a documented
emergency.
Scholarships
Ceiba has received continuing financial support from several private
donors to fund our scholarship program for Ecuadorian students. If you are an
Ecuadorian student seeking a scholarship, you must follow a different application
procedure. Please see the scholarships page
for details.
Late Applications
Late applications may be accepted in special cases and only if you contact
Ceiba to ask for prior approval of an extension. The application fee is
non-refundable for late applications.
Tropical Ecology Field Course Application
Form
(This form temporarily disabled)
Personal Information
First Name: Last Name:
Email Address:
Passport Number:
Date of Birth: month
day
year
Place of Birth:
Sex:
Male
Female
Are you a US citizen?
Yes
No
If No, indicate citizenship:
Height: Weight:
Marital status:
Single
Married
Home Address
Address Line 1:
Address Line 2:
City:
State: Zip or Postal Code:
Country:
Phone: Fax:
Parent or Guardian Address (if different from above)
Address Line 1:
Address Line 2:
City:
State: Zip or Postal Code:
Country:
Phone: Fax:
Email:
Emergency Contact
Contact name:
Relationship:
Address:
City: State:
Zip: Country:
Daytime phone: Nighttime phone:
Email:
Academic/Employment References
Name of First Reference:
Relationship:
Company/Institution:
City:
State: Country:
Daytime phone:
Email:
Name of Second Reference:
Relationship:
Company/Institution:
City:
State: Country:
Daytime phone:
Email:
Medical Information
Describe any physical disabilities you have:
List any prescription drugs you take:
Describe any allergies you have:
Can you swim?
Yes
No
Are you currently CPR certified?
Yes
No
Are you a vegetarian?
Yes
No
Physician
Name:
Phone:
Medical Insurance Provider
Company:
Policy Number:
Phone:
Academic History
For each academic institution, please give the following information:
(1) Institution name, city and state
(2) Number of years completed
(3) Final GPA
(4) Graduation date or expected date of graduation
High school:
College:
Other Institution(s):
List any Biology or Ecology classes you have had:
How much Spanish do you speak, and how or where did you learn?
Essay Questions
Explain why you want to take this course: what do you wish to gain
from your experience, and what do you hope to learn? (250 words max.)
Describe any other experience that is relevant to your participation
in the course. (250 words max.)
How might your participation contribute to the success of the course?
(250 words max.)
Submit Application
I certify that all information in this application is true and correct, and understand
that my application will not be considered until all required materials have been
received by Ceiba (Is my application complete?). I further
certify that I have read the course information packet in
its entirety, and understand its contents.
Yes
No
Date submitted (MM/DD/YYYY):
/
/
Click Submit Application to send your application
by email. Click Reset to clear your form. Click the "Back"
button in your browser to return from the confirmation message you will see.
Student Recommendation Form
The recommendation form must be completed by one of your present or prior professors
or employers, evaluating your academic and personal qualifications for the field course.
The signed recommendation form must be mailed or faxed to Ceiba (see address
below) and received by the application deadline. You can obtain the recommendation
form in two ways:
1) Download and print the complete course packet,
which includes the recommendation form.
2) Download the recommendation form only (PDF), and send it to your reference: