Distance Education Registration Form
(to be printed out and either faxed or sent by "snail-mail")
| Print out and either | |
| Mail to: | Fax to: |
|
Distance Learning Registrations Institute of Marine and Coastal Studies NSU Oceanographic Center 8000 North Ocean Drive Dania Beach, FL 33004 | (954)262-4020 |
| Or save to disk and email as an attachment to: imcs@mail.ocean.nova.edu with a cc: to douganj@nova.edu | |
Please check the course(s) you are registering for:
_____ Biology of Sharks and Rays
_____ Biostatistics
_____ Chemical Biology of Coastal Zones
_____ Coastal Policy
_____ Coastal Pollution and Environmental Toxicology
_____ Coastal Zone Interpretation
_____ Coastline Environmental Security
_____ Environmental Remote Sensing and Geographic Information Systems
_____ Environmental Sustainability: Choices for the Future
_____ International Integrated Coastal Zone Management
_____ Internship in Coastal Policy
_____ Life on a Water Planet
_____ Marine Chemistry
_____ Marine Ecosystems
_____ Marine Geology
_____ Marine Mammal Management
_____ Physical Oceanography (Introduction)
_____ Resolving Environmental and Public Disputes
_____ Water: Cross-cultural, scientific and spiritual perspectives
Name: ___________________________________________________
Address: _________________________________________________
City: ______________________ State: ________________________
Postal/ ZIP Code: ________________ County: __________________
Phone number: _____________________
e-mail: ___________________________________________________
How did you learn about our distance learning courses? ________________________
________________________________________________
Level of study required:
General Interest _____ Undergraduate ______ Graduate ______
Do you wish to apply for the Graduate Certificate in Coastal Studies ________________
If this is the first time that you are applying for the full graduate credit option or the Graduate Certificate,
a copy of your undergraduate degree is required. You can either fax a copy of your degree to (954)262-4020,
or scan an electronic image and email to disted_1@mail.ocean.nova.edu.
After the receipt of this form, you will be contacted for additional information.
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