Center for Student Coastal Research

SUMMER INSTITUTE 2004
Enrollment Application


Please hand in to "Doc T," or Mr. Buckley. If not a CHS student, please mail to the following address:

Attention: Summer Institute
Center for Student Coastal Research
40 Parker Avenue
Cohasset, Ma. 02025



Name: _________________________________________________________________

Address: _______________________________________________________________

Phone: _________________________ Email:_______________________________

Grade or year in school Sept 2004: ___________________

Summer Institute Research Project in which you are most interested (with a brief reason): ______________________________________________
__________________________________________________________

For research classes only: List of past relevant courses and experiences:
(# of bullets is for spacing only; don’t feel obligated to note any specific number of courses or experiences.)



For all students: Statement of Goal(s) for the summer: Briefly state what you hope to accomplish, experience, and / or learn in the course that you have enrolled in. Please include a statement indicating your commitment to complete all academic work.