The Center for the Study
of the Eurasian Nomads
(CSEN)
Application
for
An International Archaeological Excavation
Egiin Gol, North Central Mongolia
CENTER FOR THE STUDY OF EURASIAN NOMADS
American -Eurasian Research Institute
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- Expedition Date: June 1 - August 1, 1999
- Volunteer Session and Tax Deductible Donation (please circle session
choice):
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- * 2 week sessions: June 15 - July 1 OR July 15 - August 1
- [$1500 donation: $150 due with application. $1350 due on or before
May 1, 1999]
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- * 4 week sessions: June 1 - July 1 OR July 1 to August 1
- [$3000 donation: $300 due with application. $2700 due on or before
May 1, 1999]
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- * 6 week session: June 15 - August 1
- [$4000 donation: $400 due with application. $3600 due on or before
May 1, 1999]
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- Applications are due by April 20, 1999.
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- Personal Information
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- Name________________________________________________Birthdate______________
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- Sex_______Height________ Wt._______
- Mailing
- Address_____________________________________________________________________
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- City___________________________________________ State_________Zip____________
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- Phone: Home (____)_________________ Work (____)___________________
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- e-mail _________________________
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- Passport # ___________________ Expires _______________
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- SS#_______________________
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- Occupation__________________________________________________________________
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- Employer____________________________________________________________________
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- If retired, former employer ______________________________________________________
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- Emergency Contact_____________________________________________________________
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- Relationship_____________________
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- Home Address ________________________________________ Phone (____)__________
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- Work Address _________________________________________Phone (_____)__________
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-
- * Please describe your special interest in this project, and what
- experience you have had that might be helpful on this project. Attach
extra
- pages if necessary.
-
- * Please include any educational background that is pertinent. NOTE:
PLEASE
- ATTACH CV IF AVAILABLE and REFERENCES.
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- * Previous Travel. Briefly tell us about any previous foreign travel,
which
- countries you have visited and when. ATTACH SEPARATE PAGE.
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-
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- Adaptability. Please let us know if you are comfortable with the following
- lifestyles:
- Shared room__________ Shared tent___________ Dormitory___________
-
- Rustic facilities__________ Unusual food_________________
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- Working in remote areas_____________________________________________
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- Medical Conditions. Medical treatment may not be equal to the norm
in the
- US. Please list any special medical conditions you may have.
- Blood type________ Medications_______________________________________________
-
- __________________________________________________________________________
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- Special Diet________________________________________________________________
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- Diabetes__________ Epilepsy___________
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- Asthma______________
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- Allergies________________________________________________________________
- Other, such as bad back, trick knee, etc.
- ________________________________________________________________________
- Loss of consciousness (explain and give date)
- ________________________________________________________________________
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- Corrective Lenses_________________
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- Date of last physical examination___________________________________
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- Any other pertinent information.
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- CONDITIONS
-
- As team members of this research project, participants must adhere
to regulations and maintain a standard of good conduct. The sponsors reserve
the right to require a participant to withdraw at any time if conduct and
behavior jeopardizes the welfare or fulfillment of the objectives of the
project.
-
- It is understood that the participant will assume all responsibility,
either financially or otherwise, for any illness or injury which might
occur during the expedition. Emergency transport, medical or hospitalization
costs resulting from illness or accident during the expedition are the
responsibility of the person receiving such care. In cases where the Project
Leader, in consultation with local medical authorities, considers it necessary,
a participant will be sent home or hospitalized. The sponsors will make
every effort to ensure that ill or injured participants receive proper
medical attention. However, obligation to the project may necessitate leaving
a participant in the care of others.
-
-
- The participant is aware that while taking part in this field trip
certain exposure to risk may occur. This exposure may include but is not
limited to: accident and/or sickness without readily available medical
facilities, the forces of nature, travel on the ground and in the air,
and others. In
- consideration of the right to participate in this research, the participant
assumes all of the risks involved and agrees to indemnify and hold thesponsors
of the project harmless for any and all liability that may arisein connection
with participation in the activities.
-
- I have read and fully understand the conditions for participating asdetailed
above.
-
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- Signature _______________________________________________________________
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- Date_________________
-
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- PLEASE PRINT THIS FORM, COMPLETE, AND RETURN THE SIGNED APPLICATION
QUESTIONNAIRE AND CONTRIBUTION DEPOSIT MADE PAYABLE TO CENTER FOR THE
STUDY OF EURASIAN NOMADS BY RETURN MAIL TO THE ADDRESS LISTED BELOW.
-
- IF YOU ARE NOT ACCEPTED FOR THE EGIIN GOL EXCAVATION, YOUR DEPOSIT
WILL BE RETURNED.
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- APPLICATION AND DEPOSIT DUE APRIL 20, 1999. EARLY APPLICATIONS ARE
ENCOURAGED.
-
- TOTAL CONTRIBUTION DUE BY MAY 1, 1999
Send application, information, and contributions to:
-
- Center for the Study of Eurasian Nomads
- American-Eurasian Research Institute, Inc.
- EGIIN GOL PROJECT
- % Dr. Jeannine Davis-Kimball
- 1607 Walnut Street
- Berkeley, CA 94709
-
-
- Additional information available:
- honeychu@umich.edu
-