Expedition Israel - Participant Application

Expedition Israel - Participant Application
Name *

First Name Middle Name Last Name
Date of Birth *

Month Day Year
Date Date Picker Icon

Home Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Cell Phone Number *

Area Code Phone Number
Alternate Phone Number *

Area Code Phone Number
Email *
example@example.com
Gender *

Male Female
Height (feet' inches") *
Weight (lbs.) *
Emergency Contact Information

Please ensure you alert your emergency contact person of your travel plans.
1st Emergency Contact Name *

First Name Last Name
Relationship to applicant *
Cell Phone Number *

Area Code Phone Number
2nd Emergency Contact Name *

First Name Last Name
Relationship to applicant *
Cell Phone Number *

Area Code Phone Number
Personal Health Information
If you have any history of heart disease, abnormal cardiogram, heart attack, asthma, epilepsy, emphysema, diabetes, emotional disorders, or any other health issues, please explain how these may affect you on the trip:
Do you carry health and major medical insurance that would cover medical expenses in the event of illness or injury? *

Yes No
List any food or health allergies:
Moderate to rigorous hikes, kneeling, bending, lifting, and exposure to outdoor elements. Do you anticipate this posing any health challenges? (Check with your doctor if you suspect this.) *

Yes No
Indicate any special needs of which we should be aware, including medications:
Code of Conduct
This academic/archaeological trip is partially operated and run by Truett McConnell University (in partnership with the Qumran Cave Project) and therefore functions as an outdoor classroom where the same conduct rules apply as on campus. This is to ensure that all project participants have the best possible experience. This Code of Conduct includes, but is not limited to the following:

Respect:

All trip participants must be courteous and respectful of all people in our party and those with whom our party interacts.

We recognize that people from various backgrounds and views are participating in this trip. We encourage critical thinking and exchange of ideas with others who may differ. While all people are entitled to their own views, we must show mutual respect in regard to the material taught on this trip.

All trip participants play a part in the smooth running of the trip including assisting with various duties at the archaeological site, looking out for the needs of others, responding punctually to the trip itinerary, etc.

Sexual harassment of any kind is not tolerated (this includes any advances towards another person, inappropriate sexual language, media, etc.).
Care must be taken when handling anyone else’s personal property (gear, bags, etc.).

Stealing is prohibited.

Modesty:

Dress modestly (due to the weather and the nature of this outdoor event, shorts and tank tops, etc. are acceptable. However, modesty applies.)

Modesty applies to one’s speech towards another person or in the presence of another person. Inappropriate language such as cursing, gossip, coarse jesting, etc. is prohibited.

Contraband:

No alcohol, drugs, tobacco products or fire arms/weapons are permitted.
I have read and agree to abide by the above Code of Conduct. *

Yes No
Photograph and Video Release
All photographers taking photographs or videos on University property or of University events must obtain a signed release from any person—whether student, faculty, staff, or general public—who is visibly recognizable. Crowd scenes where no single person is the dominant feature are exempt. These rules govern photographs and videos intended for use in any University publication of marketing or a public relations nature, such as newsletters, brochures, promotional items, or other such material. Release also must be obtained for photographs and videos used on the Web. These rules do not apply when photographs or videos are taken of news events, but photographs or videos taken for news purposes require a release for reuse in marketing materials.
I hereby grant Truett McConnell University permission to use my likeness, whether in photograph(s) or video(s), in any and all of its publications and in any and all other media, whether now known or hereafter existing, controlled by Truett McConnell University, in perpetuity, and for other use by the University. I will make no monetary or other claim against Truett McConnell University for the use of my likeness, whether in photograph(s) or video(s). *

Yes No
Please visit www.truett.edu/expeditionisrael and click on ‘Reserve your spot now!’ to make payment(s) ($250 deposit to reserve your spot; the total cost is due prior to the trip). You may also pay by check (please contact jlyon@truett.edu with any payment questions). Note that your signature on this application form releases Truett McConnell University of any liability in the event of an accident (while on this trip) resulting in injury or damage and/or loss of property.
Typing your full name below constitutes your electronic signature: *
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Expedition Israel - Participant Application

Emergency Contact Information

Personal Health Information

Code of Conduct

Photograph and Video Release