Apply to the Field Camp

Name *

First Name

Last Name

Current Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Do you have any physical condition that might be adversely affected by normal field course activities such as hiking in inclement weather, camping, etc.? *

No

Yes

Do you have any relevant medical condition including allergies, asthma, diabetes? *

No

Yes

Courses completed prior to camp: (check those completed, or equivalent) *

Physical Geology

Structural Geology

Mineralogy/Petrology

Sedimentology

Stratigraphy

Field Methods

Year in School *

Sophomore

Junior

Senior

Graduate