MARC - BRASS/El Pilar Project Application

Don't forget to submit your completed BRASS Medical form, BRASS Acknowledgment and Consent form, and a brief resume or C.V. along with your application. 

You are applying to join a research project which is operating in an underdeveloped country and under conditions which vary substantially from your home. The project involves physical labor and the ability to live and cooperate in close quarters with others. This questionnaire helps to ensure that the project operates smoothly and that we have some ideas as to your skill, interests, strengths, and weaknesses prior to the beginning of the field season. Please try to answer as accurately and completely as possible. Thank you.

Email *
Full Name
 *
Date of Birth
 *
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DD
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Address
Major/Year
Phone number
Relevant course work and/or experience 
Career goals and relationship to participation
What do you expect from this experience?
What do you think your greatest contribution to the project can be?
We all have weaknesses, what do your consider yours to be?
What do you consider your strongest points?    
Living Space
Please consider the following conditions carefully and rate [Excellent, Good, Fair or Poor] how you feel you would fare in the following conditions. You may augment answers with an explanation.
Shared Room
Clear selection
Dormitory Living
Clear selection
Rustic facilities
Clear selection
Unusual food, limited diversity
Clear selection
Limited water availability
Clear selection
Wilderness experience
Clear selection
Work/camp in remote areas    
Clear selection
Climatic Conditions
Clear selection
Humidity
Clear selection
Tropical weather
Clear selection
Flexibility
Clear selection
Sense of humor
Clear selection
Observation skills
Clear selection
Patience
Clear selection
Curiosity
Clear selection
Experience with other cultures
Clear selection
Ability to work in a team
Clear selection
Ability to follow directions
Clear selection
Initiative
Clear selection
Physical stamina
Clear selection
Do you smoke?
Clear selection
You may add any additional details to the previous multiple choice answers here
Skills (please indicate knowledge in any of these areas and extent of knowledge/ability)    
Knowledge of foreign language (which ones)    
Camping experience
Backpacking/Hiking experience
First aid experience
Vehicle maintenance/repair
Truck/4-wheel drive vehicle experience
Experience with standard transmission
Electronics/mechanic abilities
Mapping/survey experience
Computer skills
Sketching/illustration ability
Technical drawing/drafting abilities
Professional writing
Photography
Please include any additional information about yourself in the space below    
DISCLAIMER/RELEASE
I am aware that participating in the Belize River Archaeological Settlement Survey project of UCSB involves risks. Such risks include, but are not limited to, accidents and/or illness without readily available medical facilities, forces of nature, difficulties in travel. In consideration of participation in the BRASS/El Pilar Program, I do hereby assume all of the risks involved and agree to indemnify and hold the project, Dr. Ford, and the University of California harmless for any and all liabilities that may arise in connection with my participation in the activities that are part of the BRASS project.
Electronic Signature
 *
Name (retype full name) *
After submitting, please email your completed BRASS medical form, Acknowledgment and Consent form, and your resume to ford@ucsb.edu
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