As part of my participation in the Adelphi Archaeology Field Methods in Alaska program which is sponsored in whole or in part by Adelphi University, I grant authorization to the Program Director, and/or his/her designees, to contact the individuals listed below. Such discussions will be limited to matters of personal safety, wellness, or if I should be injured or hospitalized for any reason.
Provide the name of an academic adviser or professor willing to provide a letter of support on your behalf. The letter should state your ability to complete the course and how it would benefit your future career plans.
After submitting this application, please ask your professor or advisor to email their letter of support to Brian Wygal at email@example.com.
Please upload your Unofficial University Transcript and Letter of Intent below.
You can also upload a scanned copy of your current health insurance card but that is not required at this time.
I certify the information shown on this application is correct to the best of my knowledge. I am aware that if I become a student or volunteer in this program I will comply with all rules, regulations, and instructions for student behavior as outlined by the Adelphi student code of conduct, the course syllabus, and as directed in the field by principal investigators. I agree that Adelphi has the right to require my withdrawal from this program due to unsatisfactory academic work or behavior between the time of the application and completion of the program.
If accepted to the program as a registered student or volunteer, I understand I must pay in full my Adelphi tuition, less my financial aid and scholarships, if any, before departure. I will also pay for any associated project fees directly to the program director by the posted deadlines. I also understand that I am responsible for paying separately for airfare or other transportation to and from Fairbanks, Alaska. I also understand that some housing accommodations will be my responsibility if occurring before or after the project dates and that while most meals and transportation are covered by the project, I may incur additional expenses if choosing to purchase additional food at a restaurant, store, or market. Project volunteers and participants not registered must still abide by all academic and conduct obligations.
Students are responsible for following all laws and regulations of the state of Alaska during their entire stay. Alcohol and recreational drug consumption are prohibited for the duration of the project. As a restricted smoking campus, cigarette smoking is permitted only in specifically designated locations away from non-smoking areas. Irresponsible, disruptive, or potentially dangerous behavior in any regard will be grounds for immediate dismissal from the field school and/or failure in the course. Students must be in good health at the time of departure, as well as physically capable of participating in outdoor activities such as hiking, excavating, and associated tasks. This project is designed for independent discovery and personal experience so students, who need constant supervision, do not enjoy camping, animals, insects, outdoors, or dirt need not apply. Student dismissal from the project will be at the discretion of the principal investigators and the student or parents are solely responsible for arranging, supervising, and covering the expense of any students dismissed from the project early.
Program: Archaeological Field Methods in Alaska
Term: Summer Session II
1. Standards of Conduct
A. I was provided access to and agree to abide by Adelphi’s Code of Conduct and the Course Syllabus by the program provider regulations, and by the directions of the Program Director and his or her designees. I understand that the Program Director and his/her representative have the right to enforce appropriate standards of behavior and that I may be dismissed from the Program at any time for failure to comply with such standards. Adelphi reserves the right to decline, to accept, or retain me on the Program at any time should my actions or general behavior impede the operation of the Program or the rights or welfare of any person, including but not limited to my own welfare. Similarly, if my conduct violates any Adelphi policy or procedure, I understand that I may be required to leave the Program at the sole discretion of Adelphi’s agents and representatives, and may be referred to the appropriate Adelphi officials or law enforcement agent for further disciplinary or other action. I understand that if my participation in the Program is terminated I will be sent home with no refund of fees. If I am sent home before completion of the Program, I understand that I will be responsible for any and all costs and expenses associated with my return home. In addition, I will forfeit all credits and rights of further participation in the Program.
B. Adelphi assumes no responsibility for, nor does exercise any control over, actions of any family members, visitors, or others who accompany or join an Adelphi enrolled student, volunteer, faculty member or other Adelphi employee (Participant) while such Participant is involved in the Program in any way, whether such visitor is also an Adelphi employee or student even though not a Participant, including but not limited to travel, housing, or other activities.
C. I understand that the state of Alaska has its own laws and standards of acceptable conduct, including dress, manners, morals, politics, drug use, and behavior. I recognize that behavior which violates those laws or standards could harm my own health and safety and Adelphi’s relations with those governments, countries, and/or foreign institutions. I will conduct myself with awareness that standards in the particular setting may be markedly different from standards to which I am accustomed. I will take appropriate steps to familiarize myself with standards and customs as necessary so I act to reflect well on myself and Adelphi during the course of my travels related to the Program.
D. I understand that, the possession, use of/or association with illegal drugs or public drunkenness may subject me to severe legal penalties; I understand that any student possessing, using or associated with illegal drugs will be immediately dismissed from the Program. If I disagree with this decision, I may address it in the proper forum once I
return to the Adelphi campus or point of origin.
E. I acknowledge and understand that, while I am a Participant, I am responsible for my own behavior and any legal or financial consequences as I would be in my home state.
F. I understand that I am agreeing to enter a wilderness setting, engage in extended backcountry hiking and camping on uneven, unpaved, and unstable terrain. I understand that this will require me to pack personal possessions including a tent, sleeping bag, and clothing, when necessary, and that specific actions on my part will be required as instructed to reduce risk and prevent unwanted encounters with wildlife including grizzly bear, black bear, and moose.
2. Institutional Arrangement
I understand that Adelphi does not represent or act as an agent for, and cannot control the acts or omissions of, any host institution, host family, transportation carrier, hotel, tour organizer, or other provider of goods or services involved in the Program. I understand that Adelphi is not responsible for matters that are beyond its control. I hereby release Adelphi from any injury, loss, damage, accident, delay, or expense arising out of any such matters.
3. Program Changes
I understand that Adelphi reserves the right to make cancellations, substitutions or changes to the Program in its sole discretion, with or without notice, and Adelphi shall not be liable for any loss to Participants by reason of any such cancellation or change. Adelphi is not responsible for penalties assessed by air carriers that may result due to operational and/or itinerary changes, regardless of whether the Participant or Adelphi makes a flight arrangement. Any additional expense resulting from the above will be paid by the Participant. Adelphi reserves the right to substitute hotels or accommodations or housing of a similar category at any time. If I become detached from the Program group, fail to meet a departure vehicle, airplane, boat, or train, or become sick or injured, I will at my own expense seek out, contact, and reach the Program group at its next available destination.
4. Independent Activity
I understand that, if I choose to travel independently before, during or after my time in the Program, such travel will be unsupervised by Adelphi’s agents or employees. I agree that Adelphi and its agents and employees shall have no responsibility or liability for injury, damage or loss suffered by me during such periods of independent travel. This includes circumstances wherein, I choose to volunteer with the Program, its directors, or other investigators to continue working on the Program research agenda following the completion of the academic Program.
5. Health and Safety
A. I will provide Adelphi with proof of medical insurance coverage for the period I will be in Alaska, and if I do not have medical insurance, I will purchase from a private company, a policy that covers such coverage for the duration of the Adelphi study in Alaska program. I agree that this policy will provide coverage for injuries and illnesses I sustain or experience while in Alaska, and, more specifically in the areas in which I will be living and/or traveling while on the Program; and I release and absolve Adelphi of all responsibility and liability for any injuries, illnesses (including death), claims, damages, charges, bills and/or expenses I may incur while in Alaska, including periods before, during, and after the duration of the Program.
B. I agree that Adelphi, through its agents and employees, may take whatever action is deemed necessary with respect to my health and safety; I authorize Adelphi and its gents and employees to place me, at their discretion and without my further consent, in a hospital or in the care of a local doctor for medical services and treatment. If necessary or desirable, I also auth rize them to transport me back to Anchorage or Fairbanks for medical treatment. I agree that I, along with my parents or guardian, will be fully responsible for any and all expenses, including transportation costs, associated with or in any way related to my medical care.
C. I agree to report to the Program Director or Office of Sponsored Projects; as soon as I become aware of such, any physical or mental condition, I have which may require special medical attention or accommodation while in Alaska. I understand that Adelphi may not be able to provide accommodations in Alaska even if it could do so on campus, and that all requests for accommodations must be timely, initiated by me and processed according to the applicable policy.
D. I am aware of all applicable personal medical needs. I have arranged, through insurance or otherwise, to meet any and all needs for payment of medical costs while I participate in the Program. I recognize that Adelphi is not obligated to attend to any of my medical or medication needs, and I assume all risk and responsibility therefore. If I require medical treatment or hospital care, in a foreign country or in the United States before, during or after the Program, Adelphi is not responsible for the cost or quality of such treatment or care
6. Assumption of Risk and Release of Claims
A. I hereby acknowledge my awareness that my participation in the Program may expose me to risk of property damage and bodily or personal injury, including death. I understand that the risks I may encounter include by way of example: airplane crashes, motor vehicle accidents, animal encounters, hypothermia, inclement weather, cuts, bruises, broken bones, sickness, and criminal acts as well as other risks that may or may not be foreseeable. I also understand that the Program may be physically challenging and will include strenuous hiking for recreation and/or as necessity and that I am willing and able to participate in such activities. I hereby assume any and all such risks, and I acknowledge that I am responsible to act reasonably and prudently with respect to matters of personal health and safety.
I understand and acknowledge that Adelphi assumes no responsibility or liability, in whole or in part, for any delays, delayed or changed departure or arrival times, fare changes, dishonors of hotel, airline or vehicle rental reservations, missed carrier connections, sickness, disease, injuries (including death), losses, damages, weather, strikes, acts of God, circumstances beyond the control of Adelphi, quarantine, public health risks, criminal activity, terrorism, expense, inconveniences, cessation of operations, mechanical defects, failure or negligence of any nature howsoever caused in connection with any accommodations, restaurant, transportation, or other service or for any substitute of hotels, hostels, campgrounds or of common carrier or other circumstances beyond Adelphi’s control, with or without notice, or for any additional expenses occasioned by any of the foregoing.
If due to weather, flight schedules or other uncontrollable factors I am required to spend additional nights, Adelphi will not be responsible for my hotel transfers, meal costs or other expenses. My baggage and personal property is at my risk entirely. The right is reserved by Adelphi, in its sole discretion, to cancel the Program or any aspect thereof after departure, requiring that all Participants return to their point of origin, if Adelphi determines or believes that any person is or will be in danger if the Program or any aspect thereof is continued.
Knowing the risks described above, and in consideration of Adelphi’s arranging for my participation in the Program, individually and on behalf of any family, heirs, assigns, and personal representative(s), to the maximum extent permitted by law, I hereby assume these risks and release, waive, and forever discharge Adelphi, the Board of Trustees of Adelphi University, their members individually, and their officers, trustees, agents and employees (the “Releasees”) from liability for any and all harm, injury, claims, demands, rights, causes of action, costs, and expenses of whatever kind, arising from or by reason of any loss, damage, or injury sustained by me or caused to my property, or the consequences hereof resulting from or in any way connected with my participation in the Program.
B. This Agreement shall be construed in accordance with the laws of the State of New York, which shall be the forum for any lawsuits filed against any of the Releasees incident to this Agreement or the Program. The terms of this Agreement shall be severable, such that if a court holds any term to be illegal, unenforceable, or in conflict with any law governing this Agreement; the validity of the remaining portions shall not be affected thereby.
If the Participant will not be 18 years of age or older by the date of signing hereon, this Agreement also must be signed by the parent of guardian.
I (a) am the parent or legal guardian of the above Participant, (b) have read the foregoing Agreement (including such parts as may subject me to personal financial responsibility and assumption of risk), (c) am and will be legally responsible for obligations and acts of the Participant as described in this Agreement, and (d) agree, for myself and for the Participant, to be bound by its terms.
I agree that I shall not bring suit of any kind against Adelphi University, its Board of Trustees, officers, servants, agents, or employees due to my participation in this event. I agree on behalf of myself, my estate, family, assigns and heirs to indemnify and save harmless Adelphi University from and against any and all suits, liability, loss, cost, expense or damage, (including, but not limited to, reasonable counsel fees for Adelphi University, as well as claims for legal fees to be paid by Adelphi University for counsel for any person or party), and from and against any and all suits, claims and demands of every kind and nature, by or on behalf of any person, the estate or heirs of any person, firm, association or corporation including punitive damages, arising out of or based upon any accident, injury or damage however occurring, which may happen before, during or after the specified voluntary field trip (the event).
I know that the Family Educational Rights and Privacy Act of 1974 as amended (FERPA) protects the privacy of my student educational records and limits access to the information contained in those records. As part of my participation in the Adelphi Archaeology Field Methods in Alaska program which is sponsored in whole or in part by Adelphi University, I grant
authorization o the Program Director, and/or his/her designees, to discuss program related matters with the individuals listed below. Such discussions will be limited to matters of my personal, financial and academic welfare in connection with the program.
I hereby authorize the Adelphi Archaeology Field School in Alaska project director to have access to my records described below to determine whether I will be accepted as a registered student or volunteer participant in the program. And to disclose such information to any educational institution which may be involved in any program to which I am accepted so that such institution may have information necessary to address my education needs, interests, and health care. The records and information I authorize and direct to be disclosed by Adelphi University and/or my current institution are:
I understand that by signing this authorization form I am waiving certain rights granted to me by the Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. Section 1232g, and I waive those rights voluntarily by signing this authorization.
I further understand that I have the right to revoke this consent at any time by notifying Adelphi University of my revocation of this authorization. To insure proper notification of revocation of this authorization, I understand I should submit my request in writing to the Professor Brian Wygal, Department of Anthropology, Blodgett Hall, Room 102, Adelphi University, Garden City, NY 11530.
I recognize the importance of my safety in the backcountry and that certain conditions should be acknowledged to Program supervisors to insure my safety and the safety of others. Therefore, I am disclosing the following conditions that may or may not apply to me.
In consideration for being allowed to participate in the archaeology field school program sponsored by Adelphi University, I hereby authorize the use of any photographic or electronic reproductions of me, my project field notes, and other project related data or information for any purpose, including, but not limited to photography, video recording, educational, news reports, and other public media productions as may be deemed appropriate by Adelphi University. I understand that I may be identifiable from such photographic, video, or electronic reproduction and that these images may, at some time, be posted online for promotional or outreach purposes. Further, I, the undersigned, agree to grant Adelphi University, its successors and assigns, the right to use photography or electronic reproductions in which I appear, including reproductions and composites thereof or likeness based thereon, with or without my name in association with advertising of Adelphi University.
I am at least 18 years of age and fully competent; and I execute this Release for full, adequate and complete consideration fully intending to be bound by same.
College of Arts and Sciencesp – 516.877.4120