A minimum of 12 dives must be logged with the Science Diving Program to maintain "ACTIVE" status.
Name
Location:
Dive Buddy:
Briefly describe the activities/tasks performed during dive:
Dive Mode
Breathing Gas
Deco Method
Environment
Depth
* If diving with Nitrox, indicate % O2
I certify that the above is an accurate summary of the dives that I have performed under the auspices of Penn State and/or in support of maintaining my diving status. Yes Date:
Your information may remain on the page after submission unless you choose "clear form"