Application - Indiana University Judson Mead Geologic Field Station

Applicants are encouraged to apply as soon as possible in order to increase the probability of their enrollment in the option of their choice. However, applications will be accepted until the capacity of each course is reached or approximately two weeks before the date of each option Please check the option date and course for which you are applying. Dates below are the official dates of the courses. (See course descriptions.)

Questions and comments should be directed to iugfs@indiana.edu.

Printable Form

The application form is available in PDF format, and it is downloadable via the link below.
Application [PDF, 64 KB]

Online Form

Course (June 19 - July 8, 2007- tentative)

G426

G426

G526

G526

Basic Information

Name
E-Mail Address

Sex

Male
Female

Current Address:

Street
City State Zip
Country Phone ()

Permanent Address:

Street
City State Zip
Country Phone ()

Academic Information

Where are you currently enrolled? *

Undergraduate Student
Anticipated Graduation Date (Month/Yr)

Graduate Student
Years of graduate study completed:

PLEASE LIST GRADE RECEIVED FOR COURSES COMPLETED BY SUMMER 2007

Undergraduate:
Sedimentology/Stratigraphy	Field Camp or Field Methods
Petrology	Structural Geology

If you are planning to enter a graduate program in 2007-2008, what school will you be attending and what is your degree objective?

Graduate (please list all graduate courses completed or anticipated by summer 2007):

If you are a graduate student, where did you complete your B.S./B.A.?:

Please provide a short explanation for why you are interested in taking Field Techniques in Basin Analysis (preparation for thesis research, preparation for graduate applications, general interest, etc.)

Indiana University, as an equal opportunity/affirmative action employer, complies with applicable federal and state laws prohibiting discrimination, including Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973. It is the policy of Indiana University that no person, on the basis of race, sex, color, religion, national origin or ancestry, age, marital status, handicap, or Vietnam Era Veteran status, shall be discriminated against in employment, educational programs and activities, or admissions. Inquiries or complaints may be addressed to the Campus Affirmative Action Office, Bryan Hall, Indiana University, Bloomington, IN 47405 (812) 855-4859.