Complete the form by typing the required information in the boxes or selecting the relevant choices. Questions about the form should be directed to:

Dr. John Peck, Field Camp Director
Department of Geosciences
The University of Akron
Akron, OH 44325-4101

An application is considered complete when you have:

• submitted this application form
• sent a copy of your unoffical transcript(s) listing grades in geology courses

Applicant's Information

Full Name: Mailing address until end of Spring semester/term: City: State: Zip Code: Address after Spring semester/term: City: State: Zip Code: Email address: Phone (until end of Spring semester/term): Phone (permanent, if different): School/Major: Class status: Freshman Sophomore Junior Senior Grad Student Overall GPA: Geology GPA: I plan to take: Field Camp I Field Camp II Both Field Camp I and II I am taking field camp as a(n): Undergrad Grad Student Please check the course that you will have completed before Field Camp: (check all that apply):

Physical Geology Historical Geology Geomorphology Metamorphic/Igneous Petrology Crystallography/Mineralogy Paleontology Structural Geology Sedimentology/Stratigraphy Hydrogeology Field Methods

What other geology courses will you have completed?

An asterisk (*) denotes a required field