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Personal Information

Family Name

First Name(s)

Email

Correspondence Address
All correspondence will be sent to the first address.
Be sure to complete your address, include your apartment number, postal/zip code, and country.


Telephone
(Specify if Home/Office/Mobile)


Alternative Address
(specify e.g. parents or college)


Gender  Male
 Female


Date of Birth
(dd/mm/yy)


Age at start of Excavation
(Minimum - 18)


Current Occupation

Nationality(s)


Education

Name of last or current
educational Institution


Courses/Degree


Practical Experience
(previous archaeological experience is not a requirement)

Language(s) spoken

Occupational skills

Drawing skills

Computer skills

First aid/Medical skills

Other Skills

Archaeological Experience List previous sites (last 4 only), include year, duration of participation, position or responsibility.



Academic Archaeological Experience
List relevant names of courses.





Team Member Registration
I wish to participate in (tick):

SESSION DURATION DATES COST

Session 1 4 weeks June 7 - July 2 2010 $3200 CDN
Session 2 4 weeks July 17 - August 13 2010 $3200 CDN


For questions regarding this registration form: Jacques.Y.Perreault@umontreal.ca