Caracol Project

Personnel Form

Name:

Birthdate:

Project Staff No.:

Passport Number:

Citizenship:

Social Security No.:

Current Address:

Current Phone No.:

Address or Parents or Closest Living Relative:

Phone No. of Parents or Closest Living Relative:

Health Insurer:

Address of Insurer:

Identification No.:

In Emergency Notify:

Allergies (Food, Medication, Other):

Required prescription medications:

IF YOU ARE UNDER A PHYSICIAN’S CARE FOR A MEDICAL CONDITION, PLEASE ATTACH A DOCTOR’S LETTER TO THIS FORM THAT CERTIFIES THAT YOU ARE CAPABLE OF UNDERTAKING THE ACTIVITIES ASSOCIATED WITH THE CARACOL ARCHAEOLOGICAL PROJECT.