Iowa Archaeological Certification Program
Registration Form
Sign in to Google to save your progress. Learn more
Email *
Name *
Mailing Address *
Zip Code *
Phone *
Occupation *
Are you a current IAS member? *
Education: High School *
What high school do you/did you attend?
High School: Year Graduated *
Education: College *
What college(s) do you/did you attend?
College: Year(s) Graduated *
Interest in the archaeological certification program *
Briefly describe your interest in the certification program and what you would expect of such a program.
Archaeological field experience *
Include a specific description of any field experience or laboratory experience working with archaeological materials that you may have had. Give a detailed account of all activities you have participated in and the length of time you spent on each.
References *
List the name(s) and contact information (address or email address) of anyone you may have worked under who could supply an account and evaluation of your past experience.
Category applying for: *
Signature *
By typing your name and the current date in the box below, you are submitting your signature.
Additional Information
The Office of the State Archaeologist, from time to time, receives inquiries to identify individuals who have successfully completed their certification program. The office’s practice is to respond with such inquiries by identifying the names and addresses of such individuals and also provide those making the inquiry with additional information from the individual’s application forms such as degrees earned and amount of field experience. If you prefer not to have such information disclosed about you in response to such inquiries, please inform the office.

University of Iowa Nondiscrimination Statement: The University of Iowa prohibits discrimination in employment, educational programs, and activities on the basis of race, creed, color, religion, national origin, age, sex, pregnancy, disability, genetic information, status as a U.S. veteran, service in the U.S. military, sexual orientation, gender identity, associational preferences, or any other classification that deprives the person of consideration as an individual. The university also affirms its commitment to providing equal opportunities and equal access to university facilities. For additional information on nondiscrimination policies, contact the Director, Office of Equal Opportunity and Diversity, the University of Iowa, 202 Jessup Hall, Iowa City, IA 52242-1316, 319-335-0705 (voice), 319-335-0697 (TDD), diversity@uiowa.edu.
IAS Memberships
IAS memberships are available for purchase online at https://iowaarcheologicalsociety.org/membership. Please open this link in a new browser window!
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy