2022 Summer TA application form 2022 Summer TA Application Form Deadline for SUMMER TA applications: April 1, 2022I am applying to TA: Marine Invertebrate Zoology (May 6 - June 17, 2022)) Applicant InformationName* First Last Address*Please use an address where you can receive BMSC communications for the foreseeable future. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone*Email* BMSC Communications*Your email address is our primary method of contact, and will be used for all course-related communications. We occasionally send news to our Alumni: do you wish to keep in touch with what's happening at BMSC? Yes No Emergency Contact - Name* First Last Emergency Contact - Phone*Academic InformationCurrent UniversityUniversity of VictoriaUniversity of British ColumbiaSimon Fraser UniversityUniversity of CalgaryUniversity of AlbertaOtherNot currently enrolled at a universityNon-member universityIf you selected 'Other' above, please provide the name of the university you are currently attending. Current Degree program* Current Graduate Supervisor - Name* First Last List all Degrees earned, with year*Have you taken courses at BMSC in the past?* Yes No Course listIf 'Yes' please provide a list of courses and year attended.Do you have TA experience at BMSC?* Yes No TA experience at BMSCIf 'Yes', please provide a list of courses and year.Are you a Canadian citizen, landed immagrant, or refugee?* Yes No Work Permit or SIN?If 'No', will you hold a valid work permit and Social Insurance number covering the period of employment? Yes No ReferencesReferences contacts*NameUniversityDepartmentEmailPhone Technical QualificationsSuccessful candidates must provide copies of all certifications to the University Programs Coordinator. If you will be driving BMSC vehicles during the course, you will be asked to provide a Driver’s abstract (easily attainable from ICBC at no cost).1. First AidA valid Marine Basic First Aid, or any 2-day (16 hrs) First Aid course recognized in B.C., or a higher certification is required for all BMSC Teaching Assistants. Please provide the name of the certificate held and expiry date.Course NameExpiry Date (yyyymmdd) 2. BoatingPleasure Craft Operators Card (PCOC)To operate small vessels (the Copes) at BMSC, Transport Canada requires the operator to have at a minimum a valid Pleasure Craft Operators Card (PCOC) and a valid, a 2-day (16 hrs), in-person, First Aid + CPR-C course recognized in B.C.Do you have your PCOC? (yes or no)PCOC #For field courses that require students to be transported by boats, Small Vessel Operator Proficiency (SVOP) certification is required. NOTE: A valid SVOP also requires: MED A3 (now known as Small Domestic Vessel Basic Safety), and a valid, in-person, 16-hour first aid certification, with CPR-C, equivalent to Marine Basic First Aid and recognized by a province or territory; Marine Radio Operator’s Certificate; Complete a boat checkout and safety briefing by BMSC Foreshore staff. Click here for more details. Small Vessel Operator Proficiency (SVOP)*Do you have your SVOP? (yes or no)SVOP #SVOP supplementary certificates*For SVOP license to be valid, you also need the following: Marine Emergency Duties (MED), Marine Basic First Aid (MBFA), Restricted Operator Certificate (Maritime) with DSC endorsement (ROCM).MED / MBFA / ROCM (yes or no) [add a new line for each cert]certificate # 3. Land transportPlease provide the driver licences you hold (e.g. None, Class 4, Class 5, etc.)Driver License (Class)Driver License # Email us your CVPlease email to us your CV and cover letter in a single document, titled with the applicant’s LAST Name: 'lastname_2022SummerTA_app.pdf' Direct questions to: University Programs Coordinator Phone: 250-728-3301 ext. 240Email: email@example.comVisit our website.