FIELDWORK OPPORTUNITIES 2002

APPLICATION FOR CHASTIYE KURGANY BURIAL MOUNDS

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• One Session: $950.00
• Both Sessions: $1,700.00

Session 1 (only) can be extended on the basis of an additional charge of $45 per day

CONTRUBUTION DUE DATES

DUE WITH APPLICATION

Note: The essential official visa for the excavation requires approximately six weeks to obtain, and thus, deadlines are firm. A visa will not be granted until the entire contribution is paid.


REFUND POLICY: If you are not accepted, your deposit will be refunded. If you are accepted and you withdraw more than 60 days before the beginning of the first session, 50% of your deposit will be refunded. If you withdraw after 60 days before the beginning of the first session, no refund will be made. However, the deposit remains tax-deductible

Please check the session(s) for which you are making application
Session 1: July 16-August 8, 2002 (First choice____) (Second choice ____)
Session 2: August 6-August 24, 2002 (First choice____) (Second choice ____)
Both Session 1 and 2 (________)

Personal Information

Name________________________________________Birthdate______________________ Address___________________________________________________________________

Mailing Address if different from above ______________________________________________________

Home phone (_____) ______________ e-mail address ___________________________

Social Security number_________________S ex_____ Height_______ Weight_______

Passport number_____________________________ Expires______________________

PLEASE INCLUDE A XEROX COPY OF THE FIRST TWO PAGES OF YOUR PASSPORT

Employer or school________________________________________________

Address of work or school___________________________________________

Phone number, work or school (___)_____________________________________

If retired, former employer _________________________________________

Address ______________________________________________________

Please include a photograph of yourself in the application

Emergency contact Name____________________________________Relationship____________

Home address___________________________________________________

Work address____________________________________________________

Home Phone(_____) ________________ Cell Phone(______) ________________

Work Phone(_____) _______________ e-mail___________________________

Special Interests
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 on a separate page, Please list all educational background that is pertinent.

Previous Travel. On a separate page, briefly tell us about any previous foreign travel, which countries you have visited and when.

PLEASE ATTACH CV and REFERENCES

Medical Conditions
Medical treatment will not be equal to the norm in the US. Please be sure to list all special medical conditions you may have. _____________________________________________________________________

Blood Type___________

Special Diet or Foods_______________________________________________________

Check any of the following that are applicable:

Diabetes________ Epilepsy__________ Allergies______________________________

Other health concerns, such as bad back, trick knee, etc. (give details___________________

____________________________________________________________________________

Loss of Consciousness (explain and give date(s)____________________________________________

_____________________________________________________________________________
Check if Corrective (___) or Contact Lenses (___) Date of last physical examination______________

Any other pertinent information: _________________________________________________________________________
___________________________________________________________________________

Conditions
As a team member (hereafter Participant) of the Chastiye Kurgans project, I will adhere to the regulations and maintain a standard of good conduct. The Center for the Study of Eurasian Nomads (hereafter Sponsor) and director of the excavations (hereafter Director) reserves the right to require a Participant to withdraw at any time if conduct or behavior jeopardizes the welfare of any participant or the fulfillment of the objectives of the project. Additional travel costs due to early dismissal will be the entire responsibility of the Participant. It is understood that the Participant will assume all responsibilities, 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 Participant receiving such care. In cases where the Director, in consultation with the Participant and local medical authorities, considers it necessary, a Participant will be sent home or hospitalized. The Director will make every effort to ensure that an ill or injured volunteer receives proper medical attention. The Participant is aware that while taking part in this project, certain exposure to risks may occur. Exposure may include but not be 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 for the Participant to engage in this project, he or she assumes all of the risks involved and agrees to indemnify and hold the Sponsor and the Director of the project and his Associations harmless for any and all liability that may arise in connection with travel to and from the archeological site, to any of the excursions, and while engaged in any activities

I have read and fully understand and accept the conditions for participating in this archaeological expedition.

Signature_______________________________________________________________

Print name_______________________________________________Date_____________

Return Application to: Center for the Study of Eurasian Nomads, Chastiy Kurgany Excavation, 577 San Clemente Street, Ventura, CA 93001, USA