Please circle one. Altar Designer Performer Vendor Name (Print) Signature Date Name (Print) Signature Date Name (Print) Signature Date Name (Print) Signature Date Name (Print) Signature Date Name (Print) Signature Date Name (Print) Signature Date Name (Print) Signature Date
Please circle one. Mr. / Mrs. / Ms. Year(s) of Graduation Year(s) of Graduation First Last Street _City State Zip Code Home Phone ( ) Cell Phone ( ) E-mail address
Please circle one. Internship Research with a Professor Registered for classes in the fall and not taking summer classes Summer classes Housing is available from May 20th - August 17th in Stacwyck. Rates are on a weekly basis. Current residents will stay in their Spring 2018 assignment and move to summer housing on May 20th. (Halls will close on noon August 18). Weeks housing is desired: (please circle) May 20—May 26 May 27 – June 2 June 3– June 9 June 10– June 16 June 17-– June 23 June 24—June 30 July 1 – July 7 July 8 – July 14 July 15 – July 21 July 22—28 July July 29--Aug 4 Aug 5-Aug 11 Aug 12—Aug 17 For students who are currently not in Spring 2018 housing: Will you need housing from May 11th --May 20th? Yes No Requested roommates and/or suite Dining Plan Options: Weeks meal plan is desired: (please circle) May 20—May 26 May 27 – June 2 June 3– June 9 June 10– June 16 June 17– June 23 June 24—June 30 July 1 – July 7 July 8 – July 14 July 15 – July 21 July 22—July 28 July 29--Aug 4 Aug 5-Aug 11 Aug 12—Aug 17 Select one of the dining options below: □ 100 Meal Block at $1200 □ 19 On Demand at $170/wk □ 15 On Demand at $135/wk □ 10 On Demand at $95/wk □ NO PLAN If you decide you need additional plan(s) please go to : xxxxx://xxx.xxxxxxxxxxx.xxx/dining-plans/index.html and complete Rensselaer Summer Meal Plan Agreement Form. SUMMER MEAL PLANS BEGIN WITH BREAKFAST ON MAY 20, ,2018 SUMMER MEAL PLANS END WITH DINNER ON AUGUST 17, 2018. This housing agreement is for the 2018 Summer Session as indicated by the dates listed. If at any time a student is not enrolled full time, Rensse- laer may, at its option, terminate this agreement upon one week written notice to the student. Rensselaer shall not increase occupancy of hous- ing units or change housing assignments except to maintain occupancy levels designated in the agreement or if necessary due to enrollment fluc- tuation, governmental regulations or order, acts of God, or emergency conditions. All housing regulations, policies and procedures contained in current Undergraduate and Graduate catalogs at Rensselaer, the Handbook of Stu- dent Rights and Responsibilities, and the Residence Guide (which is located on the office of Student Living and Learning website), are part of this agreement. All resident students must comply with the housing rules and regulations that are issued from time to time. Rensselaer is not respon- sible for loss or damage to personal property of its students or guests and strongly suggests that studen...
Please circle one. Internal Grievance External Grievance
Please circle one. I DO / DO NOT give Market Animal Show and Sale of Marathon County, Inc. permission to use my photo/image for the purpose of promoting/reporting activities of the M.A.S.S. program. It is understood that photographs and images used and all rights arising from their use, are the exclusive property of the Market Animal Show and Sale of Marathon County, Inc. and the M.A.S.S. program. I plan to DNA test for Market Animal Sale participation the following number of animals (circle number): 1 or 2 or 3 or 4 Beef 1 or 2 or 3 or 4 Hogs 1 or 2 or 3 or 4 Sheep ***NOTE: Participants are eligible to DNA test up to four (4) animals, but may bring only two (2) animals per species to the final weigh in at the fair. Only first two (2) animals to weigh in of any species are eligible for Market Animal Show & Sale. Signature of Participant Club/Chapter Signature of Parent/Guardian Date Print Parent’s/Guardian’s Name(s) (as you would like listed in the sale book) Street Address City Zip Parent Cell Phone Number Parent Email Address
