Registration and Housing Form (online)

Confidentiality of Registration Information

The information requested is needed to enroll you in courses and to maintain your student records. Only the Registrar's Office at the institution through which you are enrolled will be provided the information submitted. It will not be provided to any other person or organization.

Register Now

You can register over the Web by filling in the form below or you can download the Registration and Housing Form as an Adobe Acrobat (pdf) file. Please mail the completed form to the Iowa Lakeside Laboratory's Administrative Office along with your $40 application fee

Name and Address

Note: Items in green must be filled in or form will not be processed.

Name:

USA Social Security Number
or University of Iowa Student ID Number:
(If you are a foreign student and do not have a valid US SSN, please enter 999-99-9999)

Current (and permanent, if not same as current) mailing address(es):

Daytime telephone number:

Evening telephone number:

Email address:

Date of birth:

What is your sex? Male Female

Birthplace: Country

Citizenship, if not US:

Type of VISA, if not US citizen:

Education / Student Status

Are you registering as a/an:

undergrad student
graduate student

University degree(s), include date and institution, (This section must be completed if seeking graduate credit.):

University at which you are currently enrolled:

Are you pursuing a degree from one of the following:
Please choose from the following list Iowa State University University of Northern Iowa Drake University Iowa Lakes Community College I am not pursuing a degree from one of these institutions

If you chose an institution in the question above,
enter your ISU/UNI/Drake/ILCC student ID #

If you are pursuing a degree from ISU or UNI, will you be applying for
Summer financial aid through your home institution (ISU or UNI)?
Yes No

Lakeside Courses Being Requested

NOTE: To sign up for Internship, Independent Study, or Research courses, you must first contact the Iowa Lakeside Laboratory to get the Executive Director's approval to take these courses. It is not possible to register for these courses online.

First Term (June 2 to June 27, 2008): None Conservation Biology – 4 cr. Ecology – 4 cr. Ecology and Systematics of Diatoms – 4 cr.

If you registered for a First Term course above, do you wish to take it for academic credit or on a non-credit (audit / 0 s.h.) basis?
(Tuition fees are the same for credit or audit registrations.)
Credit Non-credit (audit)

Second Term (July 7 to August 1, 2008): None Plant Ecology – 4 cr. Prairie Ecology – 4 cr. Natural History Workshop-Prairies (July 7-11) – 1 cr.

If you registered for a Second Term course above, do you wish to take it for academic credit or on a non-credit (audit / 0 s.h.) basis?
(Tuition fees are the same for credit or audit registrations.)
Credit Non-credit (audit)

Other Workshops:
Summer Writing Festival (July 21-25)
Natural History Workshop (Aug 4 -15)

None The Brilliance of Brevity – 1 cr. Aquatic Toxicology and Wetland Dynamics – 2 sh

NOTE: The Summer Writing Festival is offered through The University of Iowa only. It can be taken on a non-credit (audit / 0 s.h.) basis for a fee of $232 (undergraduate status) through The University of Iowa. If you registered for the Summer Writing Festival course above, do you wish to take it on a credit or non-credit basis?

Lakeside Scholarships

Iowa Lakeside Laboratory offers only merit scholarships. These scholarships cover basic room and board. Applicants must have a cumulative GPA of 2.5 or higher to qualify.

Would you like to be considered for an Iowa Lakeside Laboratory Scholarship?

Yes No

If you answered "Yes", submit a 100-200 word essay, via email, that describes your qualifications and motivation for taking courses at Lakeside Laboratory and arrange to have a copy of your official transcript sent to the Iowa Lakeside Laboratory's Administrative Office (see address above) before April 15, 2008.

Housing

Two kinds of housing are available: motel-style units with bathrooms and cabin-style units without bathrooms. The latter are served by two bathhouses. Most housing is double occupancy. Room and board is available as a package: cabin-style without a bath, $195/wk.; double occupancy with bath, $247/wk.; or single occupancy with a bath $379/wk. Housing is assigned on a first come, first served basis.

Are you requesting housing? Yes No

If you answered "No", there is no need to fill out the rest of this form.

Age:

When will you require housing:

First Term: No housing needed. Four weeks (June 2-27) One week (June 9-13) One week (June 16-20) Two weeks (June 9-20)

Second Term: No housing needed. Four weeks (July 7-August 1) One week (July 7-11)

Other Workshop Housing: No housing needed. Summer Writing Festival (July 21-25) Natural History Workshop (Aug 4 -15)

Type of housing preferred: No housing needed Room without a bathroom ($195 per week) Room with a bath, double occupancy ($247 per week) Room with a bath, single occupancy ($379 per week)

Comments

In order to make your time at Lakeside as comfortable and productive as possible, please use the comment box below to provides us with any additional information that would be helpful or requests that you might have. You can also use this comment box to request additional information about courses, registration procedures, housing, fees, etc.

Comments:

Confirmation

You will receive confirmation that your on-line Registration/Housing Form was received in a few moments. A letter of confirmation will also be sent to you via e-mail. Your application fee ($40) must be received by the Iowa Lakeside Laboratory's Administrative Office before you will be registered or assigned housing.

(Note: Submissions may take 30 second seconds to process. Your browser will be directed to a new page when the process is finished. Please no not select the "Submit Form" button more than once.)