Important Note

This form is here for informational purposes only and will not be sent, it will be online as the upcoming year approaches.

Fill in the application forms completely and send them in by 15 APRIL, 2008 with your deposit (Security Form by 1 MARCH, 2008). Do not overlook spaces or leave any blanks. It is important that we have all the information requested.

Last Name:
First Name:
Middle Name:
Email:
Social Security # (if American)
Passport # Expiration Date
Place of Issue Date of Issue

Present Address:
Street:
City: State or Province: Postal Code
Above address effective through what date?

Telephone:
Home#: Work#:

Address at end of school year :
Street:
City: State or Province: Postal Code:
Telephone #

Place of birth Date of birth
Country of Citizenship
Marital Status
Length of Stay: Full Season; 1st Half Season; 2nd Half Season

Person to be notified in case of emergency while you are abroad:
Person's Address:
Street:
City: State or Province: Postal Code
Telephone # Email

Occupation or field of study

Institutions of higher education:

Name: Dates Attended:
Degrees/Dates: Field of Study:
 
Name: Dates Attended:
Degrees/Dates: Field of Study:
 
Name: Dates Attended:
Degrees/Dates: Field of Study:

Occupational experience:

Type of Work: Dates:
 
Type of Work: Dates:
 
Type of Work: Dates:

Publications:

Hobbies, Interests

Archaeological experience: (I have worked at the following sites(s) --

Site: Position: Dates:
Site: Position: Dates:

I have taken the following archaeological and related courses:

I have studied in the following areas :

Physical Anthropology
Ancient Technology
Architecture
Art History		 Zoology
Geology
Botany
Ceramics
Other(s) that might apply

I have some experience in the following :

Auto Mechanics
Video Production
Photography
Carpentry
Computers
Archaeological Conservation
Ethnography
Masonry
Typing
Editing 		Cartography
Drawing
Surveying
Electronics
Maintenance
Engineering
First Aid
Nursing
Writing
Other(s) that might apply

Preferred area(s) of work: (From the lists, list in order of preference your first five choices of work)






Language Skills: English Arabic

Personal Statement:
Without duplicating material given above, state in a concise narrative fashion some things about yourself which might prove useful in our evaluation of your application. Include anything about your personal history, personality, future plans, and expectations for the summer that you consider appropriate. Why are you interested in archaeology? How will the project be strengthened by your participation? What will it miss without you?

Request for Academic Credit:
I am enrolling for academic credit at:

La Sierra University
Canadian University College
Mount Royal College
Pacific Union College
Walla Walla University

I am registering for:

8 quarter credits/6 semester credits (full season)
4 quarter credits/3 semester credits (half season)
undergraduate credits
graduate credits

References:

Give the names and address of two people (preferably in academics) who support your application.

#1) Name: Phone:
Address:
Street: City State or Province: Postal Code
Email:

#2) Name: Phone:
Address:
Street: City State or Province: Postal Code
Email:

Excavation Deposit (Send by 15 April):

$300 for full season
$200 for half season
I will send the remainder of the dig cost by 15 MAY at the very latest.
$ Amount outstanding
(Make check payable to "Madaba Plains Project - LSU" and send to:
La Sierra University
4500 Riverwalk Parkway
Riverside, CA 92515

Phone: (951) 785-2462
FAX: (951) 785-2199
Email:


If all the information you have provided is correct to the best of your knowledge please check here: