VADUM IACOB RESEARCH PROJECT

Join the Dig

For registration, please fill this form according to the instructions
Personal Information

First Name: (Required)		Family Name: (Required)
E-mail: (Required)

Telephone 1: (Required) (Specify if Home/Office/Mobile)		Telephone 2: (Specify if Home/Office/Mobile)
Address

Gender:	Male Female
Age

Current Occupation:
Social Security/I.D. Number:
Nationality(s):
Country of Residence:
Passport Number(s):		Passport Expiration Date:

Education: (Name of last or current educational Institution):
Courses/Degree:

Practical Experience:
Language(s) spoken:
Occupational skills:
Drawing skills:
Other:

Archaeological Experience:
Yes No

Academic Archaeological Experience:
Yes No

I wish to participate in: Full Period (June 17 - July 3, 2007)
Yes No
Partial Period From Till

If you are taking the courses for credit please supply us with the complete mailing address of your institution (full excavation period needed for credit).

Lodging:
Lodging needed: Yes No

After registration, please fill the Health and Insurance form (28K) ,print it and bring it with you to Vadum Iacob when coming to excavate. Every participant must have with him a filled Health and Insurance form in order to excavate.

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