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Enrollment Application

"*" indicates required fields

1Student Info
2Parent /Guardian Info
3Voyage / Ref Info
4About You
5Terms, Agreements & App Fee
6Review & Submit
This field is for validation purposes and should be left unchanged.

1. Student Information

 

Student Details
Be sure to select the correct year
MM slash DD slash YYYY
As defined by the passport you travel with
Gender
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As defined by the passport you travel with
Alumni would mean having participated in a Sea|mester, ActionQuest, GoBeyond, or Lifeworks program before.

 


 

Student Mailing Address

We mail all correspondences to this address prior to, and after the program. This address should be valid for a minimum of 3 months after your voyage ends.

 


 

School Information
Please enter either the school the student is currently enrolled or the school the student is accepted into and will be attending directly after the voyage.
A Gap Year voyage is traditionally defined as time after graduating from high school but prior to attending University.

 

 


2. Parent / Guardian Information

 

Please provide us with as much information as you can.

 

 


 

Primary Parent / Guardian Information

We consider this individual as the Primary Point of Contact for this student's application

 


 

Secondary Parent / Guardian Information

 

 


3. Voyage & Reference Information

 

Voyage Selection

 

Should this voyage be full, please...

 


 

YOUR ACADEMIC / PROFESSIONAL REFERENCES

To complete your application we need to have recieved two references for you. While it's preferred that you submit the details of your references now, we understand that sometimes students do not have the contact details to hand.

Are you ready to submit your references?

Since you are not quite ready to submit your reference information, once we receive your application we will follow up with you to get those details. Keep in mind, your application will not be complete and ready for formal acceptance until we have received these references.

Please provide us with accurate contact details for two academic or professional references. These individuals will be contacted immediately by Sea|mester, and must be able to reflect on your character or work ethic. It is not appropriate to use friends or family members for references.

 

A. Reference 1

 

B. Reference 2

 

 


4. About You

 

Please be specific

 


This field is hidden when viewing the form
In the section below, briefly answer the following questions.
   1. Why are you choosing to apply to Sea|mester?
   2. Why did you select this specific voyage?
   3. What do you hope to take away from your voyage?
   4. What do you foresee yourself uniquely contributing to the voyage?

 


Academic & Misconduct Information
2. Do you feel that this GPA accurately reflects your academic ability?*
3. Do you currently receive, or qualify to receive any academic accommodation for learning or any other disability?*
Split this section between the accommodations you receive now and those you feel that you need to be afforded to be academically successful during the voyage.
4. Are you currently, or have you ever been, charged with or subject to disciplinary action for scholastic (such as plagiarism or cheating) or any type of behavioral misconduct at any educational institution? You do not need to disclose academic dismissal, suspension, or probation for poor grades.*
5. Have you ever been charged with a violation of the law, misdemeanor, and/or felony (even if adjudication was withheld) which resulted in, or, if still pending could result in, probation, community service, restitution, a jail sentence, or the revocation or suspension of your driver's license? You are not required to include traffic violations which only resulted in a fine.*

 


Medical Information
1. Do you have any medical condition, severe allergy, or treatment need that could cause a life-threatening emergency or require time-sensitive care in a remote, maritime setting—e.g., anaphylaxis, severe asthma, seizure disorder, insulin-dependent diabetes, or significant cardiac disease?*

Please use the field below to give us a sense of these considerations.

2. Have you been under the care of a therapist, psychiatrist, or psychologist in the last 12 months?*

The very nature of a Sea|mester voyage creates a living, social and working dynamic that is very different to the home environment. For this reason, if you have been under the care of a psychiatrist or psychologist at any point in the last 12 months we ask that the Counseling Professional complete a specific questionnaire that we have created.

Please enter your email address below, and we will send you the Counseling Questionnaire along with some more information to forward to your Counseling professional.

Please do not enter your Counseling Professional's email address as they will not understand the context of the request we will be sending you. We suggest that you forward the information we provide to your Counseling Professional under separate cover.

 


Financial Plan

 

 


5. Participant Terms Agreement & Acknowledgment and Assumption of Risks & Release and Indemnity Agreement

Read the following carefully. These documents contain important information and may affect your legal rights if an injury or other loss occurs.

Once we have processed your enrollment application and created you a student portal, you will be asked to generate and sign a digital version of these agreements. In the meantime, feel free to download a copy by clicking here https://www.seamester.com/release.

Once we have processed your enrollment application and created you a student portal, you will be asked to generate a digital version of these agreements, which must be signed by BOTH student and parent/guardian. In the meantime, feel free to download a copy by clicking here https://www.seamester.com/release.

 

Participant, please check the box below to indicate your agreement with the Participant Terms Agreement outlined above.*
Parent, since the Participant will be under the age of 18 or some or all of the voyage, please check the box below to indicate your agreement with the Participant Terms Agreement outlined above.*

 

Participant, please check the box below to indicate your agreement with the Acknowledgment and Assumption of Risks & Release and Indemnity Agreement outlined above.*
Parent, since the Participant will be under the age of 18 or some or all of the voyage, please check the box below to indicate your agreement with the Acknowledgment and Assumption of Risks & Release and Indemnity Agreement outlined above.*

 


Scholarship / Discount Code
Do you have a code?

Please note that codes relating to a scholarship will not automatically validate on this system as most are applied to the program tuition rather than the deposit.

 


Application Fee

 

Authorization for a one-time charge to your credit card to pay the $100 application fee according to the Terms and Agreements.

 

Discover
MasterCard
Visa
Maestro
Supported Credit Cards: Discover, MasterCard, Visa, Maestro
 

 

 

6. Review & Submit Your Application

Please review the information below for accuracy. If you need to make any changes, simply click on the step links above to jump to that page.

 

Student Information
Name {student first name:1} {student middle name:3} {student last name:2} Preferred Name {student preferred name:4}
Date of Birth {date of birth:5} Country of citizenship {country of citizenship:18}
Sex {sex:7} {transgender:20} Height {height:8}
Weight {weight:9} lbs. T-shirt Size {t-shirt size:10}
Primary Phone {student primary phone:13}   {student primary phone type:159} Secondary Phone {student secondary phone:158}   {student secondary phone type:160}
Primary Email {student email 1:11} Secondary Email {student email 2:172}
Mailing Address {student street address 1:29}, {student street address 2:30}
{student cIty:31}, {student state/province:175:value} {student zip:32}
{student country:34}
School Info {school:14}
Current Grade {grade:15}
How I heard about Sea|mester: {Learn About:52}

Parent/Guardian Information
First Parent/Guardian Information (if applicable) Second Parent/Guardian Information (if applicable)
Relationship {parent/guardian 1 relationship:136}   {parent/guardian 1 relationship:126} Relationship {parent/guardian 2 relationship:137}   {parent/guardian 2 relationship:145}
Name {parent/guardian 2 first name:98} {parent/guardian 1 first name:99} {parent/guardian 1 last name:100} Name {parent/guardian 2 first name:113} {parent/guardian 2 first name:112} {parent/guardian 2 last name:111}
Email {parent/guardian 1 email:114} Email {parent/guardian 2 email:115}
Primary Phone {parent/guardian 1 primary phone:102}   {parent/guardian 1 primary phone type:103} Primary Phone {parent/guardian 2 primary phone:110}   {parent/guardian 2 primary phone type:109}
Secondary Phone {parent/guardian 1 secondary phone:101}   {parent/guardian 1 secondary phone type:104} Secondary Phone {parent/guardian 2 secondary phone:108}   {parent/guardian 2 secondary phone type:107}
Mailing Address {parent/guardian 1 street 1:138}, {parent/guardian 1 street 2:139}
{parent/guardian 1 city:140} {parent/guardian 1 state:173:value} {parent/guardian 1 zip:142} {parent/guardian 1 country:143}
Mailing Address {parent/guardian 2 street 1:147}, {parent/guardian 2 street 2:148}
{parent/guardian 2 city:149} {parent/guardian 2 state:174:value} {parent/guardian 2 zip:151} {parent/guardian 2 country:152}

Voyage Information
{primary trip:188}
Should This Program Be Full:
{select backup:38} {backup trip:178}

Your Academic / Professional References

{Ref1 Name:41} {Ref2 Name:50}
{Ref1 Relationship:42} {Ref2 Relationship:49}
{Ref1 Email:47} {Ref2 Email:43}
{Ref1 Phone:44} {Ref2 Phone:46}

Student Questionnaire
1. {student question 1:197}
2. {student question 2:198}
3. {student question 3:199}

Academic & Misconduct Information
Current GPA: {GPA:56}
Is your GPA reflective?: {GPA Reflective:57}   {Why GPA:61}
Academic accommodations: {Academic accommodations:58}   {Why Academic accommodations:62}
Disciplinary action: {Disciplinary action:59}   {Why Disciplinary action:63}
Legal infractions: {Legal infractions:60}   {Why Legal infractions:64}

Medical Information
Any medical considerations?: {health considerations:66}   {What health considerations:71}
Under the care of a therapist, psychiatrist or psychologist in the last 12 months?: {Psychiatrist:70}

Your Financial Plan
{Financial Plan:76}

Participant Terms Agreement
{student terms agree:176:value}
{parent terms agree:218:value}
Acknowledgment and Assumption of Risks & Release and Indemnity Agreement
{student participant agree:177:value}
{parent participant agree:219:value}

Application Fee Payment
{Total:191} US Dollars will be charged to your Credit Card.
This field is hidden when viewing the form
MM slash DD slash YYYY

 

 

Press the Submit Button Only Once
Complete your application by pressing the submit button below. Form processing time depends on your internet speed, so please only press the button once in order to avoid multiple submissions.

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