BRASS/El Pilar Project Application
Date:
You are applying to join a research project which is operating in an underdeveloped country and under conditions which vary substantially from your home. The project involves physical labor and the ability to live and cooperate in close quarters with others. This questionnaire helps to ensure that the project operates smoothly and that we have some ideas as to your skill, interests, strengths, and weaknesses prior to the beginning of the field season. Please try to answer as accurately and completely as possible. Thank you.
Name:
Date of Birth:
Address: Major/Year (students):
Email Address:
Phone #:
Relevant course work and/or experience:
Career goals and relationship to participation:
What do you expect from this experience?
What do you think your greatest contribution to the project can be?
We all have weaknesses, what do your consider yours to be?
What do you consider your strongest points?
Please consider the following conditions carefully and rate[Excellent, Good, Fair or Poor] how you feel you would fare in the following conditions. You may augment answers with an explanation.
Living Space
Shared room
Dormitory living
Rustic facilities
Unusual food, limited diversity
Limited water availability
Wilderness experience
Work/camp in remote areas
Climatic Conditions
Heat
Humidity
Tropical weather
Personal Characteristics
Flexibility
Sense of humor
Observation skills
Patience
Curiosity
Experience with other cultures
Ability to work as in a team
Ability to follow directions
Initiative
Physical stamina
Do you smoke? Yes_______ No_________
Skills (please indicate knowledge in any of these areas and extent of knowledge/ability)
Knowledge of foreign language (which ones):
Camping experience:
Backpacking/Hiking experience:
First aid experience:
Vehicle maintenance/repair:
Truck/4-wheel drive vehicle experience:
Experience with standard transmission:
Electronics/mechanic abilities:
Mapping/survey experience:
Computer skills:
Sketching/illustration ability:
Technical drawing/drafting abilities:
Professional writing:
Photography:
Please include any additional information about yourself in the space below or on the back of this page. Your answers will be carefully considered in the selection process and you will be notified when decisions have been reached for the next field season.
DISCLAIMER/RELEASE
I am aware that participating in the Belize River Archaeological Settlement Survey project of UCSB involves risks. Such risks include, but are not limited to, accidents and/or illness without readily available medical facilities, forces of nature, difficulties in travel. In consideration of participation in the BRASS/El Pilar Program, I do hereby assume all of the risks involved and agree to indemnify and hold the project, Dr. Ford, and the University of California harmless for any and all liabilities that may arise in connection with my participation in the activities that are part of the BRASS project.
Signature:_______________________________________________________
Name:_________________________________________________________
CHECK LIST
If you are interested in joining the project you need to begin preparations for your trip.
You will need:
* Passport that is valid at least until your return date.
* Airplane ticket including a return ticket or adequate funds to demonstrate ability to return and $15 US departure tax. Airplane tickets that are purchased several weeks in advance are often much cheaper. American, Continental and TACA fly to Belize from Houston, New Orleans, or Miami. If you wish to take a cheaper, scenic route, airfares to Cancun and Merida, MX are often much cheaper and there is excellent bus service to Belize.
* Recommended inoculations and medicines: Typhoid, Tetanus, Gamma Globulin, Malaria Pills (Chloroquin), Anti-Diarrhea Medicine, Oral Re-hydration Solution.
You may make your payment for room & board in one of two ways, either directly to Dr. Ford for project expenses or as a contribution to the University of California, Santa Barbara on behalf of the project to cover costs incurred. Contributions to the University of Califonia are tax deductible.
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Date:____________________
To: The Regents of the University of California
RE: Contribution to the Research of Dr. Anabel Ford
I am making this contribution of $_________ to further the research of Dr. Anabel Ford of CORI's MesoAmerican Research center.
Thank you very Much.
Name:__________________________ Address:__________________________
Signature:_______________________ __________________________
Please Return to Dr. A. Ford, ISBER/MesoAmerican Research Center
University of California, Santa Barbara 93106-2150
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