Name as it appears on your passport
*
Email
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Will you be receiving academic credit for participating in this excavation?
*
No
Yes
For Academic Credit recipients only: Please select your institution.
Not for Credit
Tel Aviv University (arranged through this excavation)
Wheaton College
Wesleyan University
Bethel University
BYU
Other (Please List Below)
Occupation/Field of Study
Did someone refer you? If so, please list their name.
Emergency Contact #1
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Relationship To You
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Emergency Contact #1 Email
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Emergency Contact #2
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Relationship To You
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Emergency Contact #2 Email
*
Your Most Recent Educational Institution
Degree(s) Awarded
Field(s) of Study
Degree(s) Awarded
Field(s) of Study
Employer 1
Supervisor's Name
Supervisor's Email
Dates of Employment
Type of Work
Employer 2
Supervisor's Name
Supervisor's Email
Date's of Employment
Type of Work
List the countries you have traveled to and reasons for travel (study, tourism, etc.).
List languages you speak and level of profiency.
(e.g. native-speaker, fluent, average proficiency, minimal proficiency)
Have you taken any courses in archaeology? If so, please describe.
Do you have any experience in archaeological excavations? If so, please describe.
Where possible, indicate sites, names of principle investigators, and dates of participation.
Do you have experience in any of the following areas?
Check as many as apply.
Please provide a brief explanation of any you checked off above.
Name of Reference #1
*
Title
Email
Name of Reference #2
Title
Email
How did you hear about us?
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From a friend
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Other
If you selected Other, please explain below.
