APPLICATION FORM
(Please print or type)
DEADLINE: Scholarships will be restricted to Chapter members through April 1.
If no Chapter member applies, scholarships will be opened to all ASV members (of at least one year) and the deadline will be May 15.
Applicant Name:____________________________________
Phone: (d) __________________ (e) ___________________
Address: __________________________________________
_________________________________________________
Email: ____________________________________________
Check the following:
NVC Member ____ ASV Member ____
Other (List chapter name) ______________________
ACCREDITED FIELD SCHOOL INFORMATION:
Name: ______________________________________________
Sponsoring Organization: ________________________________
____________________________________________________
Location: ____________________________________________
Web address: _________________________________________
Dates: ____________________
Application Deadline (of field school): ______________________
Total estimated cost to attend (include tuition and fees, travel, lodging, meals, equipment and supplies, etc.) $ _____________
Amount of scholarship support requested: $ ____________
Please attach to this application not more than one typewritten page explaining why you would like to attend this field school, what you expect to learn and cite your archaeological experience. Also include any available information about the school.
Return the completed application to any Chapter officer or:
NVC Chapter
2855 Annandale Road
Falls Church, VA 22042
Attn: Vice-President
Signature: ___________________________ Date: ____________
For Chapter Use Only
: Received by: _________________________Date: __________________Revised 1/01
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