
TheArchaeologicalBox.com Lecture Series Membership Form
Welcome to our Lecture Series,
part in our program. We will contact you with any available
partnerships. You will choose to which host-lecture collaborations you
wish to participate.
members of this program the information you supplied in this form
including availability, travel, relevant lecture and resumé
information, etc. We will not disclose any information that is not
included in this form or on your TheArchaeologicalBox.com user profile,
without your prior consent? You also agree that this is a free
initiative and that you will receive no funding and/or payment for
participating in TheArchaeologicalBox.com Lecture Series.
- I agree
- I disagree
B) You will be participating in our Lecture Series as:
- Lecturer (Please fill out the LECTURER section)
- Host (Please fill out the HOST section)
- Both (Please fill out both the LECTURER and HOST sections)
A) If you wish to be included in our regional program please
provide your regional information and the extent of your regional
travel.
- (ex: Location= Los Angeles/California/USA, Travel range= 300km).
*We will contact you when appropriate partnerships become available in your region.
B) If you are travelling, and wish to be included in our
national/international series please provide travel information such
as destinations and relevant dates of availability.
- Destination (1)
- Travel dates (1)
**We will contact you when partnerships that match your destination/date combination become available.
***Please contact us regularly to update your travel information.
- (Suggested information: Name and title, professional information, field of interest, proposed lecture subject, etc.)
choose more than one. If your area of interest is non-geographical,
choose “General” and specify.
- North America (Canada, USA)
- Central America, Mexico, and Atlantic Islands
- South America
- North Atlantic European Islands
- Continental Europe
- Eastern Europe and Russia
- Mediterranean
- Africa
- Middle-East and Southwest Asia
- Central Asia
- Eastern Asia (Inluding Southeastern Asia, China and Mongolia)
- Australia and Pacific Islands
- General : Specify
Please provide the following obligatory information.
A) Name and address of organization, business or association:
B) Shortly describe your corporate/organization archaeological mandate:
C) Organization, business or association contact, and contact information:
D) Please select the type of lecturers your organization wishes to be partnered with:
- Regional lecturers
- National /international lecturers
- Both
describe your target audience interests. If your area of interest is
non-geographical, choose “General” and specify.
- North America (Canada, USA)
- Central America, Mexico, and Atlantic Islands
- South America
- North Atlantic European Islands
- Continental Europe
- Eastern Europe and Russia
- Mediterranean
- Africa
- Middle-East and Southwest Asia
- Central Asia
- Eastern Asia (Inluding Southeastern Asia, China and Mongolia)
- Australia and Pacific Islands
- General : Specify
- ex: students, professionals, general public, etc.
- ex: Graduate students, Post Graduate students, Professionals, World travellers, etc