Please print this page, fill it out and send it by post to:
1. Name (last name first) _________________________________________________
Social Security No. _________________ Passport No. _____________________
2a. Present Address ________________________________________________________
Postal Code ______________ Telephone w/area code _______________________
Above address effective through what date? _____________________________
2b. Address after end of school year _______________________________________
Postal Code ______________ Telephone w/area code _______________________
Email __________________________________________________________________
4. Place of Birth _____________________ 5. Date of Birth __________________
6. Country of citizenship _____________ 7. Marital Status _________________
Occupation or field of study ___________________________________________
8. Period when you want to excavate at Veldwezelt-Hezerwater:
___________________________________________________________________________
9. Institutions of higher education:
Name Dates attended Degrees received Field of study
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10a. Describe briefly why you want to participate in the excavations at
Veldwezelt-Hezerwater:
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10b. Archaeological experience:
Briefly describe past experiences in archaeological excavations, if any.
Give the names of the principal investigators and the dates of
participation.
___________________________________________________________________________
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___________________________________________________________________________
___________________________________________________________________________
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10c. Have you studied, either in academic courses or on your own, any of the
following (check where appropriate):
Computing ___ Geography ___
Physical Anthropology ___ Zoology ___
Ancient Technology ___ Geology ___
Architecture ___ Botany ___
Art History ___ Ceramics ___
11. Archaeological skills:
Do you have special skills or work experience in any of the following
areas? (Please check where appropriate).
EXCAVATING: Have you handled any of the following excavation tools?
Measuring tape ___ Sledge hammer ___ Plumb bob ___
Large pick ___ Hoe ___ Hand pick ___
Line level ___ Spirit level ___ Wheel barrow ___
Large sieve ___
CARTOGRAPHY:
Free hand drawing ___ Drawing to scale ___ Drafting ___
Mechanical drawing ___ Layout ___ Inking ___
Other ___
COMPUTING:
GIS ___ Other ___
SURVEYING:
Have used transit ___ Studied geometry _________________________________
Worked on surveying team __________________________________________________
CONSERVATION OF ANTIQUITIES:
Have worked at cleaning coins or metal ___ Restoring broken pottery ____
Preserving bones or ivory ___ Other ________________________
PHOTOGRAPHY:
Have taken pictures professionally ________________________________________
Semi-professionally ___ Years of experience _____________________________
LANGUAGE SKILLS:
Do you speak
Dutch ___ French ___ Other ___
12a. Insurance: Most of the European archaeology students are insured by their
own University. Students should always check the conditions of this insurance.
Students or volunteers without any insurance must take out personal accident
insurance before arrival. European Union residents should bring with them the
form that entitles them to public health benefits available in Belgium. People
from other nations should have medical or health-care insurance. They may have
to pay for health services on the spot and then have to claim back the money paid
from the insurance compagny on returning home. These obligations are always the
participants' responsibility. You release the organizers of the excavations at
Veldwezelt-Hezerwater from liability for any and all damage or accident.
12b. Person to be notified in case of emergency while abroad:
Name __________________________________ Relationship __________________
Address _________________________________________ Postal Code _________
Telephone No./area code __________________
13. Signature of application ________________________ Date ________________
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