Name:_____________________________________ Birthdate:_____________________________

Email address:__________________________________ Telephone:__________________________

Home Address: _______________________________________________________________________________

College/Business Address (If Different from Above): _________________________________________________

____________________________________________________________________________________________

College or University Attending/Graduate of :__________________________________________________________________

Major:______________________________ Academic Status: Frosh, Sophomore, Junior, Senior, Grad

A) Previous Anthropology and related courses:_____________________________________________________

____________________________________________________________________________________________

B) Previous field experience, if any (location, type, dates):____________________________________________

____________________________________________________________________________________________

C) Other experience (e.g., archival work, surveying, lab courses, soils analysis):____________________________________________________________________________________

____________________________________________________________________________________________

D) Other special skills: (e.g., drafting, photography):_________________________________________________

____________________________________________________________________________________________

E) Personal Statement: On a separate piece of paper, write no more than a page telling us a little about your interests and background in archaeology and why you wish to attend the Field School.

F) Applicants must list the names of two faculty members or other supervisors who have agreed to send letters of recommendation. It is your responsibility to solicit these letters and make sure they are received before May 1.Recommendations are essential to consideration of your application and must be received by May 1. If your referees are UMass Anthro teachers, they may give the Director an oral, rather than a written, recommendation.

1) ____________________________ 2) ________________________________

Please See Other Side

We will be in field conditions that are a bit remote. Therefore we need to know in advance about any medical conditions that might affect your ability to participate in the Field School.

G) Medical Questionnaire: Are you presently on any medications: Yes ___ No___. If yes, please fully describe the medication and the reason for its use.

____________________________________________________________________________________________

The field school involves strenuous physical labor. Do you have any medical problems that would prevent you from undertaking this labor or that might lead to complications in the field? Yes ____ No ____. If yes, please fully describe them and what steps can be taken to avoid these problems.

____________________________________________________________________________________________

Physical injury, though unlikely, is always a possibility when engaging in archaeological fieldwork. If accepted you will be asked to sign a Waiver of Liability and you must carry appropriate health insurance.

H) Other requirements: Applicants must be free to attend for the entire 4 week session, July 14-August 8. Tuition is payable upon registration and is handled by the Division of Continuing Education, University of Massachusetts, Amherst.

APPLICATIONS ARE DUE BY MAY 1. Selections will be made by May 10.

Send to: Dr. Robert Paynter, Department of Anthropology, University of Massachusetts, Amherst, MA 01003, rpaynter@anthro.umass.edu OR Fax: 413/545-9494.