2008 Preservation Field School Application Fillable Form

HISTORIC PRESERVATION PROGRAM
Department of American Studies University of Hawaii at Manoa
1890 East West Road, Moore Hall 324 Honolulu, HI 96822-2318
Ph. (808) 956-8570; Fax (808) 956-4733; e-mail:historic@hawaii.edu

PLEASE TYPE OR PRINT
Study site: Hawaii Volcanoes National Park
Dates: July 6- August 2, 2008
Time: 9:00 a.m. - 5:00 p.m. (MTWRFSa + some Sundays)

I. PERSONAL INFORMATION
Name:
UH Username:
SSN or UH ID#:
Address:
Phone [day]: (___)
Phone [evening]: (___)
Fax: (___)
e-mail:

Please check:
[_] Continuing UH Student
[_] New, Returning or Summer Only
[_] New Internatinal Student

Academic degree(s) received:
Degree/Field/Date/Institution:
Degree/Field/Date/Institution:
Present occupation or grade level:
Present employer or school:
How and where did you hear about the Preservation Field School?

II. PRESERVATION RELATED EXPERIENCE OR COURSE WORK
If coursework, list course number, title, term and year, grade received
(if applicable), and name and location of institution.
If experience, give dates, position and responsibilities.

III. STATEMENT OF OBJECTIVES
Briefly state your reason(s) for wanting to attend the Field School, your career aims and how attendance will contribute to your educational and/or career goals:

IV. ANY OTHER RELEVANT INFORMATION YOU WISH US TO CONSIDER:

V. REFERENCES
Please list the name, address, telephone, and fax numbers (including area codes) of TWO faculty or professional associates in a position to make critical comment about your scholastic abilities, motivation and work in group situations.

VI. REGISTRATION AND PAYMENT INFORMATION FOR
SUMMER 2008 CREDIT COURSES
Please read carefully, complete as applicable, and sign Certification on next page.

REGISTRATION AND TUITION: Residents and non-residents, refer to "Registration Information: How to Apply and Register for Credit Courses" at www.summer.hawaii.edu/

VII. CERTIFICATION OF APPLICANT:
I certify that the information and responses herein are true to the
best of my knowledge and belief. I further certify that I have read and understood, and agree to be bound by, the terms and conditions
described herein.

Applicant's signature and date:

___________________________________________________________

RETURN COMPLETED PRESERVATION FIELD SCHOOL APPLICATION
BY POSTMARK DEADLINE DATE TO: 2008 Preservation Field School, Historic Preservation Program, Department of American Studies, 1890 East-West Road, Honolulu, HI 96822.