SFU ARCHAEOLOGICAL FIELD SCHOOL 2013 APPLICATION FORM -- Application Deadline: February 25, 2013 -Indicate which field school programs you are interested in: Lion and Don Islands Historical Archaeology (Richmond, BC) Hartley Bay Community Archaeology (Northwest BC) Name _______________________________ Student No. ______________________________ Mailing address _____________________________________________________________________ Postal Code ___________________________ Telephone _______________________________ Are you a declared Archaeology major? __________________________________________________ Total credits at the end of this semester ______ Cumulative GPA (CGPA) ___________________ When do you plan to graduate? ____________ Do you need this course to graduate on your planned schedule? _______________________________ List all Archaeology courses taken including current semester (attach extra page if needed) AND ATTACH A CURRENT UNOFFICIAL ACADEMIC RECORD University 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Course Grade Instructor Please describe your interest in and/or ability to work and camp in remote areas with limited resources/ extreme conditions (eg. pit toilets, bugs, no cell phone coverage, etc.). ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ How do you feel about working and living closely with others (up to 20 people) for an extended period of time? ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Please describe any other previous experience or employment that applies to your suitability to this field school. ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Do you have any special medical (allergies, back problems, etc.) or dietary needs (vegetarian, food allergies, etc.) that might influence your participation in field school? ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ List two references (if possible, SFU faculty): 1. ________________________________________________________________________________ 2. ________________________________________________________________________________ Please give name and telephone number of next of kin: ___________________________________________________________________________________ Signature ____________________________________ Date ______________________________ Please submit this application to: Chris Papaianni, Manager Department of Archaeology Room EDB 9633 Freedom of Information and Protection of Privacy: The information on this form is collected under the authority of the University Act (R.S.B.C. 1996, c.468, s.27 (4) (a)), and the University’s policy of Collection of Personal Information (I. 10.05). The information is needed and will be used to determine your eligibility and suitability to participate in the Archaeology Field School. If you have any questions about the collection and use of this information, please contact the Director of the Field School, Department of Archaeology, Simon Fraser University, 778.782.3135.