Your Name
*
First Name
Last Name
Your Date of Birth
*
MM
DD
YYYY
Preferred Phone Number
*
(###)
###
####
Preferred Email Address
*
Gender Identity
*
While completely optional, this information helps us make room assignments and to improve the inclusivity, accessibility, and diversity of our program.
Racial & Ethnic Identity
*
While completely optional, this information helps us improve the inclusivity, accessibility, and diversity of our program. It also helps us evaluate the reach of our program and develop ways to improve the ways we serve our students.
Current Address
*
This is your current address, but may not be an address that you are planning to remain at for the indefinite future.
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Permanent Mailing Address
*
Please enter an address that you can receive mail at and do not expect will change anytime soon. For example, this may be the address of a parent or relative.
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
College or University Currently Attending
*
Please enter the college or university currently attending in the space provided below. Please remember, this application is intended for students from colleges and universities that are not currently part of the Wasatch-Uinta field camp consortium.
When do you expected to graduate?
*
2021-2022 Academic Year
2022-2023 Academic Year
2023-2024 Academic Year
2024-2025 Academic Year
2025-2026 Academic Year
2026-2027 Academic Year
2027-2028 Academic Year
2028-2029 Academic Year
Mineralogy
*
±A Grade
±B Grade
±C Grade
±D Grade
±F Grade
In Progress
Not Taken
Igneous & Metamorphic Petrology
*
±A Grade
±B Grade
±C Grade
±D Grade
±F Grade
In Progress
Not Taken
Sedimentology
*
±A Grade
±B Grade
±C Grade
±D Grade
±F Grade
In Progress
Not Taken
Stratigraphy
*
±A Grade
±B Grade
±C Grade
±D Grade
±F Grade
In Progress
Not Taken
Structure
*
±A Grade
±B Grade
±C Grade
±D Grade
±F Grade
In Progress
Not Taken
Please indicate any other geology course(s) completed and the grade(s) received.
*
If none, write "n/a'
Please tell us a little about yourself.
Please explain your particular qualifications, special interests, or other reasons for wishing to participate in the Wasatch-Uinta Field Camp. Please note that a thoughtful answer here bears significantly on the success of your application.
Statement of Special Medical Considerations
*
While the Wasatch-Uinta Summer Field course requires good health and physical fitness, individuals from a wide range range of fitness levels have successfully completed camp. However, experience has shown not all individuals can be successfully accommodated in all activities.
If you haven't already, please visit and review the Health & Safety section of this website. By submitting this application, you are hereby certifying that you are aware of the full range of health & safety concerns associated with this program. Once you have reviewed these materials, please Use the space below to fully communicate any health-related information that you believe we should know about (e.g., asthma, allergic reactions, medications, breathing difficulties, pre-exisiting medical conditions, mental health, etc.).
You will also need to highlight these considerations in the required Health & Safety Forms, but you may not have space to provide additional details there. Please feel free to also include any questions you might have for us.
If you have nothing to declare, please enter "n/a"
Referee One Name
*
First Name
Last Name
Title & Affiliation for Referee One
*
(e.g., Professor, Geosciences Department, University of Edinburgh)
Referee One Phone
*
(###)
###
####
Referee Two Name
*
First Name
Last Name
Title & Affiliation for Referee Two
*
(e.g., Professor, Geosciences Department, University of Edinburgh)
Referee Two Email
*
Referee Two Phone
*
(###)
###
####