Application for Admission to the
NAME: ________________________________________ SOC. SECURITY #: ____________________
The deadline for application to the field school is April 25. Submit your application before this deadline to insure prompt review. Upon acceptance, you will be given permission to enroll.
PRESENT ADDRESS__________________________________________________________
Phone:_________________ email:___________________________
PERMANENT ADDRESS___________________________________________________________________
Phone:_________________ email:___________________________
NAME AND ADDRESS OF PARENT, GUARDIAN OR OTHER EMERGENCY CONTACT
_________________________________________________________________________________________
_________________________________________________________________________________________
Phone:_________________ email:___________________________
MALE:______ FEMALE:_______ CONDITION OF HEALTH_____________________
All students are expected to have health insurance coverage during the field school. Please submit a copy of your health insurance policy card.
LIST ANY HEALTH RELATED CONDITION OR DISABILITY THAT MIGHT AFFECT YOUR ABILITY TO ADAPT TO A GROUP LIVING SITUATION AND TO PERFORM STRENUOUS, OUTDOOR, PHYSICAL ACTIVITY IN HOT WEATHER:
________________________________________________________________________________________
DESCRIBE ANY RESTRICTIONS AND FOOD PREFERENCES ___________________________________
DATE OF LAST TETANUS VACCINATION__________________________________________________
UNIVERSITY NOW ATTENDING_____________________________ MAJOR______________________
COLLEGE STATUS: UNDERGRADUATE (FR, SOPH, JR, SR) GRADUATE GPA______
DEGREE COMPLETED (if any)___________________ INSTITUTION_____________________________
PREVIOUS FIELD EXPERIENCE OR WORK IN ARCHAEOLOGY (none is
required for enrollment)
__________________________________________________________________________________________
ONE LETTER OF RECOMMENDATION FROM SOMEONE WHO CAN ATTEST TO YOUR CHARACTER IS REQUIRED. PLEASE PROVIDE THE NAME, ADDRESS, AND PHONE # OF THE INDIVIDUAL FROM WHOM YOU ARE REQUESTING THIS LETTER_____________________________________________________________
Return this application to:
Dr. Brad
Logan
Dept. of Sociology,
Anthropology & Social Work
204 Waters
Hall
Dr. Logan phone/email:
(785) 532-2419 blogan@ksu.edu