FIELDWORK OPPORTUNITIES 2002

PARTICIPANT APPLICATION

Baga Gazaryn Chuluu Index Page

Home

Center for the Study of Eurasian Nomads
Baga Gazaryn Chuluu Survey
577 San Clemente Street,
Ventura, CA 93001 USA
Phone: (805) 653-2607 * FAX: (805) 653-2607
e-mail: jkimball@csen.orgjkimball@csen.org

APPLICATION FOR
SUMMER 2003 EXPEDITION

BAGA GAZARYN CHULUU SURVEY

Vounteer Sessions

TAX DEDUCTIBLE CONTRIBUTION

Each Three-Week Session - $1200

• First Session: $300 due with application on/or before April 15, 2003
• Second Session: $300 due with application on/or before May 1, 2003

Final Payment Due

• First Session: $900 due by June 1, 2003
• Second Session: $900 due by June 15, 2003

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

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. If the project is cancelled, your complete deposit will be refunded.

Please check the session(s) for which you are making application
First Session (First choice____) (Second choice ____)
Second Session (First choice____) (Second choice ____)

If you plan on staying in Mongolia longer than your excavastion session, you must include this information on your application so that the extra time can be included in your Visa.

Length of Stay in Mongolia: Beginning Date _____________________ Ending Date ____________________

Personal Information
Name_____________________________________________Birthdate______________________

Address_________________________________________________________________________

City _____________________________________________State ______ Zip_________

Mailing Address if different from above_______________________________________________

Home phone (_____) ________Work or school phone( ___)_________ Mobile__________________

e-mail address ___________________________ and ____________________________________

Social Security number___________________S ex_____ Height_______ Weight______

Passport number_____________________________ Expires_________ Type___________Include a xerox copy of the two front 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___________________________ We prefer to contact you by email, so if your email address changes after you have submitted an application, please noify us.

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 (important)

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 Baga Gazaryn Chuluu Survey 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.

Print name_________________________________________________Date___________________

Mail Application with Deposit to: Center for the Study of Eurasian Nomads, Baga Gazaryn Chuluu Excavation, 577 San Clemente Street, Ventura, CA 93001, USA