University of ArkansasGeosciences
Fulbright College of Arts and Sciences
Field Camp Application

UNIVERSITY OF ARKANSAS GEOLOGY FIELD CLASS
APPLICATION

                  Mail or Fax to the address/fax number at the bottom of the page.


NAME: (MS, MR)  __________________________PHONE_____________

ADDRESS _______________________________________

                 _______________________________________

                ________________________________________

E-MAIL   ________________________________________

COLLEGE OR UNIVERSITY _____________________________________

GEOLOGY COURSES COMPLETED AT END OF SPRING SEMESTER, 2008

____________________________ _____________________________

____________________________ _____________________________

____________________________ _____________________________

____________________________ _____________________________

____________________________ _____________________________

____________________________ _____________________________

SPECIAL DIETARY NEEDS   _____________________________________

Instructions for obtaining temporary admission to the University of Arkansas for purposes of the field class will be sent upon receipt of the application.

For additional information, please contact the field camp director.  (dzachry@uark.edu)

                            Return Application to

Dr. Doy Zachry
Department of Geosciences
Ozark Hall 113
University of Arkansas
Fayetteville, Arkansas 72701
FAX  479-575-3469