THE ARCHAEOLOGY OF INDUSTRIALIZATION IN NORTHEAST PENNSYLVANIA: EXCAVATIONS AT STODDARTSVILLE 2016 SUMMER ARCHAEOLOGY FIELD SCHOOL June 6 – July 1 KUTZTOWN UNIVERSITY Department of Anthropology & Sociology DIRECTOR: Dr. Khori Newlander (Instructor of Anthropology) INSTRUCTIONS: Please print or type. If you are not a Kutztown University student, please attach a copy of your most recent college transcript (an unofficial copy is acceptable). APPLICATION DEADLINE: You are encouraged to submit your application (with transcript) by May 6, 2016. Applications received after this date will be reviewed on a space-available basis only. Written proof of adequate health and medical insurance coverage will also be required before the field school begins. Are you interested in (check one): ANT 320, Archaeological Field Methods, June 6 – June 17, 2016 ANT 321, Advanced Archaeological Field Methods, June 20 – July 1, 2016 Both ANT 320 and ANT 321, June 6 – July 1, 2016 (Note: This declaration does not officially enroll you in the course. You must still register for the course as normal.) PERSONAL INFORMATION: NAME: ____________________________________________________________________ DATE OF BIRTH: ________________________________ SEX: Male Female ADDRESS DURING ACADEMIC YEAR: STREET ADDRESS: _____________________________________________________________ CITY, STATE, ZIP CODE: _________________________________________________________ PHONE (HOME): ________________________________ (CELL): ________________________ EMAIL ADDRESS: ______________________________________________________________ 1 PERMANENT ADDRESS (WHERE YOU CAN BE REACHED AFTER THE FIELD SCHOOL ): STREET ADDRESS: _____________________________________________________________ CITY, STATE, ZIP CODE: _________________________________________________________ PHONE (HOME): ________________________________ (CELL): ________________________ EDUCATIONAL INFORMATION & EXPERIENCES: NAME OF UNDERGRADUATE INSTITUTION: _______________________________________________________ CURRENT STATUS: Freshman Sophomore Junior Senior ENROLLMENT: Full-time Part-time CUMULATIVE GPA: ________________ MAJOR (& MAJOR GPA): ___________________________ (______) PLEASE LIST RELEVANT CLASSROOM AND FIELD EXPERIENCE (E.G., CLASSES IN ARCHAEOLOGY OR GEOLOGY, PARTICIPATION IN OTHER FIELD SCHOOLS): PLEASE LIST ANY RELEVANT SPECIAL SKILLS (E.G., PHOTOGRAPHY, SURVEYING, GEOLOGY, WEB DESIGN): 2 WHY DO YOU WANT TO PARTICIPATE IN THIS FIELD SCHOOL? HOW WILL THE OPPORTUNITIES OFFERED BY THIS FIELD SCHOOL BUILD ON YOUR INTERESTS/SKILLS AND CONTRIBUTE TO YOUR FUTURE PLANS? IF YOU ARE A KUTZTOWN UNIVERSITY STUDENT, ARE YOU INTERESTED IN CONTINUING TO WORK WITH THE EXCAVATED MATERIAL DURING THE FALL 2016 OR SPRING 2017 TERMS? ARE YOU INTERESTED IN OPPORTUNITIES TO PRESENT AND PUBLISH THE RESULTS OF THIS RESEARCH ? WHAT EXPERIENCES HAVE YOU HAD THAT SHOW YOUR ABILITY TO ADAPT TO UNUSUAL SITUATIONS , SUCH AS GROUPLIVING, INTERACTIONS WITH PEOPLE WHO DIFFER FROM YOU , OR TRAVEL EXPERIENCES? FOR EXAMPLE, HAVE YOU TRAVELED ABROAD? (WHERE? HOW LONG?) HAVE YOU EVER BEEN CAMPING? (WHERE? HOW LONG?) 3 HEALTH PROFILE: Archaeological field work will expose you to long periods of outdoor activity and demanding physical conditions (shoveling, lifting heavy buckets, bugs, walking through brush, getting dirty). You will be expected to work under these conditions (including using porta-potties at the field site) and adapt to the group living conditions of the program. You will also be responsible for your own health insurance that will cover any medical treatments or emergencies during the program. PLEASE LIST ANY KNOWN HEALTH ISSUES THAT WOULD LIMIT YOUR ABILITY TO PARTICIPATE IN THE PHYSICAL ACTIVITIES LISTED ABOVE: ****Note that you must provide proof of adequate health and medical insurance coverage.**** PLEASE LIST AND EXPLAIN (AS NECESSARY) ANY MEDICAL, RELIGIOUS, OR PERSONAL DIETARY RESTRICTIONS. (FOR EXAMPLE, ARE YOU A VEGETARIAN? MAINTAINING A STRICTLY VEGAN OR OTHER RESTRICTIVE DIET ON A FIELD PROJECT MAY BE DIFFICULT.) 4 PLEASE PROVIDE THE NAME, ADDRESS, PHONE NUMBER, AND RELATIONSHIP TO YOU OF PERSON(S) TO BE CONTACTED IN CASE OF EMERGENCY: PERSONAL VEHICLE (NONE IS REQUIRED, BUT YOU DO NEED TO GET YOURSELF TO THE FIELD SITE. IF YOU PLAN TO DRIVE, ARE YOU WILLING TO OFFER A RIDE TO OTHER FIELD SCHOOL PARTICIPANTS ? WHAT IS THE MAKE, MODEL, YEAR, AND PLATE NUMBER OF YOUR VEHICLE?) IS THERE ANYTHING ELSE I SHOULD KNOW PERTINENT TO YOUR PARTICIPATION IN THE FIELD SCHOOL ? SIGNATURE OF APPLICANT: _______________________________________ DATE:_____________________ Please deliver completed applications to the Main Office of the Department of Anthropology & Sociology in Old Main Room 467 or email them to Khori Newlander (newlander@kutztown.edu). Remember, please submit applications by May 6, 2016. 5