Name
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Local Address _____________________________________________
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Local Telephone Number _____________________________________
E-Mail Address ____________________________________________
Permanent Address (after 6/1) __________________________________
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Permanent Telephone Number (after 6/1) (__________)__________________________
Date of Birth___________________________________
University / College_________________________________________________________
Major/ Concentration ______________________________ Standing: 1 2 3 4 other GPA______________________
Other Relevant Experience ______________________________________________________________________________________________
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Briefly Discuss your academic or professional interests and their relationship to this field program
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Reference(s):
__________________________________________________________________________________________________________
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Signature __________________________________________________ Date ____________________
SEND APPLICATION TO:
Mark T. Lycett, Director
Summer Archaeological Field Studies
Department of Anthropology
University of Chicago
1126 East 59th Street
Chicago, IL 60637
(773) 702 - 6040
m-lycett@uchicago.edu
University/ College Transcripts Should also be sent to the Address above.
