Field Camp Application

UNIVERSITY OF DELAWARE

APPLICATION FOR GEOLOGY FIELD CAMP

JUNE 25 TO AUGUST 2, 1999

Today's Date: _________________

Name: __________________________________________________________

Social Security # ________________________

College/University/Organization:______________________________________________________________

Academic Classification (e.g. Junior, 99,etc.):____________________________

Campus Address:________________________________________________________________

_____________________________________________________________________

Campus Phone:____________________________________

Permanent, Home Address:_________________________________________________

__________________________________________________________________________

Home Phone: ____________________________________

Address and Phone Where You Can Be Reached Between JUNE 1 and JUNE 20, 1999:

________________________________________________________________________________

_________________________________________________________________________________

Phone:____________________________________

Credit Option (3, 5 or 6) You Desire: ___________Your Major:________________________________

Semester (e.g. 99S, SPRING 99, etc.) You expect to graduate:________________________________

IS FIELD CAMP YOUR LAST GEOLOGY COURSE?____________

LAST UNIVERSITY COURSE?____________________________

What is your overall grade-point index (A =4.O)? ________ As Of: (date) _____________________

MARK THE COURSE WORK YOU WILL HAVE COMPLETED BY JULY 1999:

Sedimentation/Stratigraphy___________ Structural Geology____________Geomorphology_________
Petrology__________ Historical Geology_________

RETURN THIS COMPLETED APPLICATION BEFORE APRIL 16, 1999

WITH A CHECK FOR $100.00 (Made Payable to the University of Delaware) TO:

DR. ALLAN THOMPSON DEPARTMENT OF GEOLOGY UNIVERSITY OF DELAWARE NEWARK, DE 19716-2544

Last update January 28, 1999