Educator Workshop Application Form - BIOS

Please submit your application by April 19, 2024. All applicants will be notified by April 30. The tuition fee is due by May 3, 2024.

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

School / organization*

Grade(s) taught*

Main subject(s) taught*

Emergency contact name*

First Last

Emergency contact phone*

Swimming / snorkeling ability (strong / medium / weak)*

Medical conditions*

Tuition payment ($1,500)

Electronic or wire remittance (payments preferred by online transfer):

ABA route: #056001066

Account: #017115652

Account name: Bermuda Institute of Ocean Sciences

Bank name: Burke & Herbert Bank

City/St/ZIP: Alexandria, VA 22313, USA