Albion College Geology Field Camp

Albion College Geology Field Camp, 2008

Application for Admission

Albion College Geology 314, Geological Field Methods

Summer 2008

Complete the following form by filling in all the fields or selecting the appropriate responses. When you are finished, click the submit button at the bottom of the page to send your application to Carrie Menold, Field Camp Director. If you would rather not use an on-line form, please send an email to cmenold@albion.edu, and an application form will be sent to you.

Please note that in order to complete your application, you also need to have a copy of your transcript sent to: Dr. Carrie Menold, Geology Dept., Albion College, Albion, MI 49224.

First Name:
Last Name:
College or colleges attended:
School address including phone number:
Permanent address including phone number:
Email address:
Birthdate:
Present year in college:
Major:
Overall GPA:
Geology GPA:
Please indicate which of the following courses you will have completed before field camp.
Physical Geology Structural Geology Sedimentation/Stratigraphy Petrology
Please list all the other geology courses you will have completed before field camp
Please list a faculty member whom we can contact as a reference for you.
Faculty Name:
Faculty Email Address:
Faculty Phone Number:
Do you have any special medical needs, such as requiring medication like insulin, or needing allergy shots on a regular basis?
If you checked "yes," please explain:
Do you have any physical or health disabilities which might limit your participation in strenuous field activities at high elevations (up to 12, 000 ft)?

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