ࡱ> %'$ bjbj22 46P_P_> > 8<Yd3(---="T-----H-v=-=`<$^)03"""<-------F---3----"---------> Y : Application form Caere Excavation Project / CLST 409/CLAS 809 Archaeology Practicum II Name Student numbere-mail GPAUniversityCitizenship I am applying as a:  CONTROL Forms.OptionButton.1 \s  CONTROL Forms.OptionButton.1 \s  Please note: participants taking the credit option through Queens will pay the same tuition as Queens students. There is a substantial difference in tuition amount between domestic and international students. Non-Canadian students attending Canadian universities are considered international students; Canadian students studying abroad are considered domestic students. Study Plan are you a Classics & Archaeology concentrator (Major, Joint Honors, Minor, General)? If not, what is your concentration? (Non-Queens students: use the terms which are current at your home university)  Academic background: list all courses of archaeology, ancient history, and any other relevant courses you have taken so far (Non-Queens students: please list other relevant courses you have taken at your home university)  Do you have any previous experience of field archaeology? If yes, please explain  Explain how this course would be important to your present and future student career:  Do you have any background, skill or experience that would be useful on an archaeological excavation?  Do you have any physical and/or mental health conditions, allergies, special needs, dietary restrictions etc.? If yes, please explain. IT IS VERY IMPORTANT THAT YOU GIVE COMPLETE AND ACCURATE INFORMATION. Accepted participants will be asked to provide a certificate of good physical and mental health conditions signed by their doctor.  What is your vaccination status? Please also add if you are vaccinated against Tetanus.  Non-Queens students: please provide the name and email address of an academic reference, typically a professor at your home institution      +,-125:;>WX]^_`opwϿuffZJ;Jh1qh*7CJOJQJaJh1qh*75CJOJQJaJhX.CJOJQJaJh1qh* CJOJQJaJh1qh* 5CJOJQJaJh1hh1h5CJOJQJaJhr4Z5CJOJQJaJhs/5CJOJQJaJh*7hN55CJOJQJaJh*7hZ5CJOJQJaJhr4Zhs $5CJ$OJQJaJ$hr4Zht5CJ$OJQJaJ$hr4ZhH5CJ$OJQJaJ$X]^_`opwWUkd$$Ifl0$H    t 0644 lapytGFI$If$a$gd1h$a$gdH wxyz~ƶƶƧxhXL9%jI U htCJOJQJUVaJhtCJOJQJaJjhtCJOJQJUaJh*7ht5CJOJQJaJh*7hd5CJOJQJaJh*7hX.5CJOJQJaJhX.hpCJOJQJaJhShCJOJQJaJhv>hv>5CJOJQJaJhShv>CJOJQJaJhShv>5CJOJQJaJh* CJOJQJaJh1qh*7CJOJQJaJwxyz~-+kd$$Ifl\bB$Z t   t0644 lap(ytGFI$If~n o F G $$Ifa$gd1qgdk$a$gd`$a$gd<-gd7)Ff$If ( l n o u y ˸דwkw_RER8RERh.5CJOJQJaJhX 5CJOJQJaJh\T5CJOJQJaJhr4ZCJOJQJaJhtCJOJQJaJh<-CJOJQJaJh<-h<->*CJOJQJaJhICJOJQJaJ0jh 4h 4CJOJQJUaJmHnHu%jH U htCJOJQJUVaJhtCJOJQJaJjhtCJOJQJUaJ0jh 4h 4CJOJQJUaJmHnHu E F G H I \ ] & ' ̼̭~nbRbFhX.CJOJQJaJh7)ht>*CJOJQJaJhtCJOJQJaJh*7ht5CJOJQJaJh*7hd5CJOJQJaJhHCJOJQJaJ$h1qh* CJOJQJaJmH sH hkhkCJOJQJaJh7)hk>*CJOJQJaJhkCJOJQJaJht5CJOJQJaJh\T5CJOJQJaJhk5CJOJQJaJG H I ( ) $IfnkdA $$Ifl$h% t0644 lap yt1q' ( ) * + | } ~  ? 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