Study Abroad Rome Italy | An American University Rome

*First Name

*Last Name

*Date of Birth

Address*

*Telephone Number (including country code)

*Email Address

*Institution

*Dietary Requirements (vegetarian, vegan, allergies, etc.)

Length of Field School course

Four weeks (3 credits) July 17-August 11, 2017Four weeks (certificate) - July 17-August 11, 2017Two weeks (July) July 17-28, 2017Two weeks (August) July 31-August 11, 2017

Do you have any medical conditions that might need to be taken into account?

*Is your tetanus vaccine up-to-date?

If not, can you guarantee it will be by the beginning of the field school?

*Do you have current travel/medical insurance?

If not, can you guarantee you will have it by the beginning of the field school?

*Emergency Contact Information (please provide full details)

Prior Archaeological Experience (if any)

Reasons For Wanting To Participate In The Field School