ANTHROPOLOGY DEPARTMENT

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					                  ANTHROPOLOGY DEPARTMENT
                                              STUDENT INFORMATION
                                                                  for
                             Field Schools and Other Off-Campus Courses

Course #:_______________ Instructor: ____________________________________

Dates of Course: _______ through _______ Location: _______________________

Name: ______________________________________________ SID# ______________________

Address: _______________________________ City _________________ Zip ______________

Home phone: ___________________________ Cell phone: ______________________________

Citizenship: ________________________ Passport #: __________________________________
                  Citizenship information is often required for visits to military and government sites within the US.
                      If you are a US citizen and the class is within the US, the passport # is not typically needed.


Do you have health insurance other than SHIP?

Provider: ____________________________ Policy #: _____________ Phone: ______________

Do you have a personal physician who should be notified in an emergency?

Name: ______________________________________________ Phone: ___________________

Address: _____________________________________________ City ______________________

Emergency Notification:

Name: _____________________________ Phone: ___________ Relation: ________________

Address: _____________________________________________ City ______________________

BASIC VEHICLE RULES

         -    No smoking or use of alcohol/other drugs while operating vehicles.
         -    Safety belts must be worn when vehicle is in motion.
         -    CB radio users must obey radio protocol (no vulgarity or silliness).
         -    Drivers are responsible for all moving violations and parking citations.
         -    No animals are allowed in the vehicle without the consent of the instructor.
         -    The vehicle is to be returned clean and fee of garbage.
         -    Keep in mind that you represent the Department of Anthropology as well as the
              University and behave accordingly.

Last Update: 5/11/07

				
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