2016 Archaeological Summer Field School & Field Research in Environmental Archaeology Application AMES PLANTATION -MAY 15 – JUNE 3, 2016 Last Name__________________________ Major_____________________ First Name______________________ Minor_______________________ Rhodes Mailing Address (for contact in Spring 2016): ___________________________________________ Permanent Address: _____________________________________ ___________________________________________ _____________________________________ ___________________________________________ _____________________________________ Cell Phone: (_____) _____ _________ Telephone: ( _____) _____ _________ Email: __________________________________ Emergency Contact Information Name: _____________________________________ Address: ________________________________________________________________________ Phone: _________________ email: _____________________________________________ CONDITION OF HEALTH_____________________ All students are expected to have health insurance coverage during the field school. 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: _______________________________________ PREVIOUS FIELD EXPERIENCE OR COURSE WORK IN ARCHAEOLOGY (none is required for enrollment): ____________________________________________________________________________________ CIRCLE THE COURSE FOR WHICH YOU WANT TO BE REGISTERED: ARCE 120: FIELD RESEARCH IN ENVIRONMENTAL ARCHAEOLOGY (4 CREDITS: F7 & F11) OR ARCE 450: ARCHAEOLOGICAL FIELD SCHOOL (4 CREDITS: F11) CURRENT COLLEGE STATUS (CIRCLE): 1ST YEAR, 2ND YEAR, JR, SR Please read and initial each of the following: ______ I understand that this will be a 3 week, 4 credit graded class (Archaeology 120 or Archaeology 450). ______ I understand that I will be conducting strenuous field work as part of this class. ______ I understand that as part of the field school, I will share responsibilities for lab work, camp clean-up, and general field camp maintenance activities. ______ I understand that my application will be reviewed for disciplinary history by the Dean of Students and that if I am not accepted in the program I can appeal through the proper channels at Rhodes College. ______ I understand that there is a cost of $2,300 for the field school and tuition that will be charged to my Rhodes Account when I am registered for the class. _______________________________________ signature _______________ date If you are accepted into the program, you will be registered in the class and the course fees ($2300) will be charged to your Rhodes Student Account by the Bursar’s office. The charge will appear on your Rhodes account in the Spring semester. You may be asked for additional information or references. Please Return Completed Application to: Dr. Kimberly Kasper Director, Archaeological Field School Department of Anthropology and Sociology Rhodes College Clough 209 for additional information call (901-843-3238) or email kasperk@rhodes.edu or see the WEB site http://www.rhodes.edu/archaeology/5097.asp