Stage d’archéologie du bâti Bulletin d’inscription 2015 Lucy-sur-Yonne (89) – Eglise Notre-Dame du 6 au 17 juillet 2015
NOM : Prénom : Date de naissance : ___________________________ ___________________________ __________________________ Adresse : ______________________________________________________________________________ ______________________________________________________________________________________ N° tél. : Courriel : Autre : _________________________ _______________________________ __________________________ Formation en cours / lieu /professeur : ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Je m’inscris pour le stage (il est préférable de s’inscrire pour les deux semaines) * 10 stagiaires 1 - du 6 au 10 juillet
2 - du 13 au 17 juillet
Lieu de rendez-vous : des précisions vous seront données ultérieurement. L’hébergement : sur place (chez l’habitant), des précisions vous seront données ultérieurement. Sont compris dans les frais de participation le matériel nécessaire, l’hébergement y compris les week-ends, les repas du midi (sauf les week-ends), les stagiaires devront s’organiser pour le repas du soir. Participation : 50 € (par semaine) à l’ordre du Centre d’études médiévales, à renvoyer à Centre d’études médiévales, 3, place du Coche d’Eau – 89000 Auxerre et OBLIGATOIREMENT UNE CONVENTION DE STAGE DÉLIVRÉE PAR VOTRE ORGANISME DE RATTACHEMENT (Université…), joindre votre chèque à l’inscription (il ne sera débité qu’au début du stage). Veillez à être à jour de votre vaccination antitétanique. Temps de travail hebdomadaire : 35 h – du lundi au vendredi Viendrez-vous en voiture : oui , non Ci-dessous quelques questions auxquelles nous vous demandons de bien vouloir répondre. Merci. Expérience : ______________________________________________________________________________ _______________________________________________________________________________________ Fouille : ________________________________________________________________________________ _______________________________________________________________________________________ Étude de bâti : ___________________________________________________________________________ _______________________________________________________________________________________ Relevé : ________________________________________________________________________________ _______________________________________________________________________________________ Analyse de matériau : ______________________________________________________________________ _______________________________________________________________________________________ Remarque : _____________________________________________________________________________ _______________________________________________________________________________________ Date :
... en ligne : http://www.pb-organisation.com. Je reconnais avoir lu le règlement et l'accepter. DATE ET SIGNATURE. Page 1 of 1. bulletin inscription 2016.pdf.
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