PORTUGAL ARCHAEOLOGICAL RESEARCH PROJECT

	APPLICATION (Please print or type)

Full name:_______________________________________________________

Age:____  Citizenship:_____________ Passport No._________________

Home address_______________________________ Tel:_________________

___________________________________________ Fax:_________________
  
_________________________________________________________________

e-mail:__________________________________________________________

major/occupation:_______________   HMO:__________________________  
I am applying for_____ weeks, beginning on Monday:

(circle one)  	June    16    30    July   14   

Interested in university credit:  _____undergrad.  _____grad.

On the back of this page, or a separate sheet, please provide a
brief statement on why you wish to participate in this Project.

I have read PARP's policies and requirements, including those regarding 
costs and refunds, and agree to their terms.



______________________________             ______________________
         (signed)                                  (date)

Please include a $50 check (not refundable), for the application 
processing, payable to: Robert R. Stieglitz; mail both items to:

	Professor Robert R. Stieglitz
	Department of History
	Rutgers University
	Newark, NJ 07102-1814

	THANK YOU FOR YOUR INTEREST IN PARP

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