BRASS/El Pilar Project Application

Date: July 5, 2008, 11:40 pm

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. For printable application please click here

* Required Informations


* Name(Last, First):
* 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:
Explain:
Dormitory living:
Explain:
Rustic facilities:
Explain:
Unusual food, limited diversity:
Explain:
Limited water availability:
Explain:
Wilderness experience:
Explain:
Work/camp in remote areas:
Explain:


Climatic Conditions
Heat:
Explain:
Humidity:
Explain:
Tropical weather:
Explain:


Personal Characteristics
Flexibility:
Explain:
Sense of humor:
Explain:
Observation skills:
Explain:
Patience:
Explain:
Curiosity:
Explain:
Experience with other cultures:
Explain:
Ability to work as in a team:
Explain:
Ability to follow directions:
Explain:
Initiative:
Explain:
Physical stamina:
Explain:
Do you smoke? :

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. 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.

* Electronic Signature: 
* Name(retype full 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, Hepatits A, 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 tax deductible contribution.

Before submitting this application, Please check

* All the required field are not blank
* Make sure all the information is correct
* Print out a copy of this by clicking PRINT here