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

 

 
Expedition Date: June 1 - August 1, 1999
Volunteer Session and Tax Deductible Donation (please circle session choice):
 
* 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]
 
* 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]
 
* 6 week session: June 15 - August 1
[$4000 donation: $400 due with application. $3600 due on or before May 1, 1999]
 
Applications are due by April 20, 1999.
 
Personal Information
 
Name________________________________________________Birthdate______________
 
Sex_______Height________ Wt._______
Mailing
Address_____________________________________________________________________
 
City___________________________________________ State_________Zip____________
 
Phone: Home (____)_________________ Work (____)___________________
 
e-mail _________________________
 
Passport # ___________________ Expires _______________
 
SS#_______________________
 
Occupation__________________________________________________________________
 
Employer____________________________________________________________________
 
If retired, former employer ______________________________________________________
 
Emergency Contact_____________________________________________________________
 
Relationship_____________________
 
Home Address ________________________________________ Phone (____)__________
 
Work Address _________________________________________Phone (_____)__________
 
 
* 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.
 
* Previous Travel. Briefly tell us about any previous foreign travel, which
countries you have visited and when. ATTACH SEPARATE PAGE.
 
 
 
Adaptability. Please let us know if you are comfortable with the following
lifestyles:
Shared room__________ Shared tent___________ Dormitory___________
 
Rustic facilities__________ Unusual food_________________
 
Working in remote areas_____________________________________________
 
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_______________________________________________
 
__________________________________________________________________________
 
Special Diet________________________________________________________________
 
Diabetes__________ Epilepsy___________
 
Asthma______________
 
Allergies________________________________________________________________
Other, such as bad back, trick knee, etc.
________________________________________________________________________
Loss of consciousness (explain and give date)
________________________________________________________________________
 
Corrective Lenses_________________
 
Date of last physical examination___________________________________
 
Any other pertinent information.
 
 
 
 
 
 
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.
 
 
Signature _______________________________________________________________
 
Date_________________
 
 
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.
 
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

 

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