Quest Application Form

UH system 11/14/18

QUEST Application Form
Table of Contents

Overview of QUEST...... 1

Checklist for getting into QUEST...... 2

Application form...... 3-4

UH Tuition and fee slip forms for 264 & 364...... 5-8

UH residency form...... 9-10

University of Hawaii Scientific diving information...... 11-33

Reference material

Hawaiian marine organism reference list...... 1 pages

Hawaiian seaweed identification list...... 11 pages

Hawaiian invertebrate identification list...... 14 pages

Hawaiian fish identification list...... 12 pages

Additional Information:

UH system 11/14/18

Checklist for QUEST (May 13-26, 2001)

In order to enroll in QUEST the following items must be completed:

 Possess a valid SCUBA certification from a recognized training organization (e.g., NAUI, PADI).

 Possess medical insurance that is valid in the state of Hawaii during QUEST.

 Pass Hawaiian marine organism identification exam at local MOP office with a grade of 80% or better (references and species lists enclosed).

Submit a completed application form and deposit of $200 by February 15, 2001. You may elect to pay the entire balance at this time.

 Upon notification of acceptance into the course (by March 1) the following must be completed:

1. Pay the remaining balance due March 31, 2001.
Resident Tuition QUEST 264/364 = $378 + $2 student fee
Non Resident Tuition QUEST 264/364 = 390 + $2 student fee
QUEST 264 Lab Fee = $450, QUEST 364 Lab fee = $225

Balance Due after Deposit / QUEST 264 / QUEST 364
Resident Cost / $630 / $405
Non Resident Cost / $642 / $417

2. Obtain a complete physical exam as described in the University of Hawaii Research Diving authorization form and submit to the DSO.

3. Obtain CPR/1st Aid certification valid through June 1, 2001.

4. Obtain a dive check-out by the University of Hawaii Dive Safety Officer

Highly recommended but not required:

Diver Alert Network Insurance (brochure enclosed);

Emergency oxygen use course (contact the UH Diving Safety Officer for details);

Rescue Diver training for MARE 364 students (contact the UH Diving Safety Officer for details).

NOTE: Students will be prohibited from taking QUEST unless all items
are completed before the start of the course. There are NO exceptions!

Marine Option Program, ATTN: QUEST

Natural Sciences Division

University of Hawaii at Hilo

200 West Kawili Street

Hilo, Hi. 96720-4091

Phone: 808-974-7544; Fax: 808-974-4693

QUEST Application Form
Quantitative Underwater Ecological Surveying Techniques

MARE 264/364

Submit the following no later than February 15 to your local MOP Coordinator. You will be notified by
March 1 if you have been accepted into the course.

 Completed application form below;

 Total amount or a $200 deposit applicable to cost of QUEST with balance due March 15. Make checks out to UHH-CCECS;

 Photocopies of both sides of your SCUBA certification, medical insurance, First Aid, and CPR cards.

A. General Information:

Course requesting: QUEST: Mare 264  Advanced QUEST: Mare 364 

Name: Phone:

Address:

City: State: Postal code:

Social Security Number: E-mail address:

College Attending: Major: Degree:

Expected date of graduation: ID Exam (grade, date taken and location):

Supporting college coursework: Please list marine-related, math, and/or computer courses you have taken.

(attach additional sheets if necessary)

Course: Grade:

B. SCUBA Diving History: Please enclose a photocopy of both sides of your diver certification, First Aid, and CPR cards

Certifying Organization: ______

Certificate ID number: Year certified:

Number of SCUBA dives made to date: Number of dives in the last 12 months:______

Date of First Aid course: Date of CPR:

University of Hawaii Scientific Diver Authorization Number: Expiration Date:

C. Medical Insurance information: Please enclose a photocopy of both sides of your medical insurance card(s)

Insurance company: ______Insurance number: ______

Special medical conditions (describe):

______

D. Essay:

Please enclose a short essay (one-page maximum) which discusses your academic and career goals and how QUEST will help you to attain these goals. In your essay, briefly summarize your diving experience and your experience with personal computers (during QUEST students will use IBM PC based statistical, word processing, and spreadsheet programs). If you are applying for Advanced QUEST, discuss why you are interested in being a team leader, and describe any background experiences that will help you to function as an effective dive leader.

UH system 11/14/181