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FIELDWORK OPPORTUNITIES 2004

APPLICATION FOR CHASTIYE KURGANY BURIAL MOUNDS

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Center for the Study of Eurasian Nomads
Chastiye Kurgans Excavations
2158 Palomar Ave.
Ventura, CA 93001 USA
Phone: (805) 653-2607 * FAX: (805) 653-2607
e-mail: jkimball@csen.org


APPLICATION FOR

SUMMER 2004 EXPEDITIONS

CHATIYE KURGANS, SOUTHERN RUSSIA

Minimum Age: 18 years

SESSION

  • Session 1: July 18-August 8, 2004

TAX DEDUCTIBLE CONTRIBUTION

(If paid to CSEN)

 

THREE-WEEK SESSION: $1100.00

CONTRUBUTION

DUE WITH APPLICATION: $300 BY May 15, 2004

FINAL CONTRIBUTION: $800 DUE June 15, 2004

 

Note: The official excavation visa requires approximately FOUR weeks to obtain. Thus, deadlines are firm as an Invitation for the Visa will not be granted to the applicant 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 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.

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, 2158 Palomar Ave., Ventura, CA 93001, USA