Student Oceanographic Society Membership Application

Note: Please print out, fill and submit this form, along with membership fee, to any of S.O.S. officers


Name:_____________________________________ 
Email: _____________________________________
Date of Birth:__________________ 


USM Program: PhD or Masters (circle one) 
      in (select one): 
  • Physical Oceanography 
  • Biological Oceanography 
  • Geological Oceanography 
  • Chemical Oceanography 
  • Hydrography 
  • Not-student member 
Name of your interim advisor: __________________________________ 
Present Studies: ______________________________________________ 
_____________________________________________________________ 
_____________________________________________________________ 
(describe the areas of your current research study) 


Academic Background: 
(1) __________________________________________________________ 
_____________________________________________________________ 
(2) __________________________________________________________ 
_____________________________________________________________ 
(3) __________________________________________________________ 
_____________________________________________________________ 
(4) __________________________________________________________ 
_____________________________________________________________ 
(list your academic degrees, corresponding majors and universities) 
 


Society memberships: _________________________________________ 
_________________________ (scientific societies you are a member of) 
 

International meetings attended: (name, place, date) 
_____________________________________________________________ 
_____________________________________________________________ 
_____________________________________________________________ 
_____________________________________________________________ 
_____________________________________________________________ 
_____________________________________________________________ 

Publications: 
_____________________________________________________________ 
_____________________________________________________________ 
_____________________________________________________________ 
_____________________________________________________________ 

 

 
Last modified: Aug.1, 2005   | The University of Southern Mississippi  |  Comments & Questions  |  URL:http://www.usm.edu/sos/application.html
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