2015 Application Form CRM Archaeology Field School, Central Washington University Registration in the 2015 Field School is by permission only. Information on this form will be used to assess your academic and experiential preparation for an archaeological field school, as well as your expectations of this summer’s experience. Name: . Telephone Number (including area code): . E-mail . Address: Mailing Address: . . Degrees Completed: (circle all that apply) Current Year in College: (circle one) Current . College Current . Academic Previous . archaeology High School/GED Associates Bachelors Masters Freshman Sophomore Junior Senior Graduate student Other Attending: (if any) Major: (if any) classes/experience: (attach additional sheet if necessary) . . Previous . natural science classes/experience: (attach additional sheet if necessary) . . Please provide a reference who can comment on your academic abilities, relevant experience and/or capacity to successfully complete the field school: Reference Name: . Reference Title: (professor, work supervisor, etc.) Reference Affiliation: (CWU, etc.) . . Reference Phone Number: . Reference E-mail Address: . Why do you want to attend? What do you expect to get out of it? (attach additional sheet if necessary) . . . . . . . . . The fieldwork will include physical labor in sunny, hot (perhaps 100º F) and dusty conditions. Please indicate that you are aware of this and agree to participate in the work. . Any . other comments or information you wish to provide? . You are interested in registering for (Check one) __________ Full 6 weeks (6/15-7/24) 12 credits __________ First 3 weeks (6/15-7/2) 6 credits (quarter system) SEND COMPLETED FORM TO: How did you hear about this field school? Dr. Pat Lubinski Central Washington University Department of Anthropology 400 East University Way Ellensburg, WA 98926-7544 or FAX 509-963-3215 or e-mail lubinski@cwu.edu (Check one) _____ Archaeological Fieldwork Opportunities website _____ Shovelbums website _____ in class announcement or flyer _____ from Professor ____________________________ _____ other: ___________________________________ Priority deadline for submission is May 1, 2015, but late submissions will be considered on a space-available basis. If accepted, registration information will be sent to you.