North Dakota College Tour
University of North Dakota
·
North Dakota State University
·
Minnesota State University, Moorhead
Friday, October 31 - Saturday, November 1, 2014
Open to Sophomores, Juniors, and Seniors at Edison, North Academy of Arts and Communications
North Senior Academy, Patrick Henry, South, Southwest and Washburn and Sophomores and
Juniors at Roosevelt High
How do I sign up for the tour?
The attached application with essay question and waivers must be filled out completely by the student, signed by the student and a parent or guardian and returned as soon as possible. Return completed applications to one of the following places:
Applications are due no later than Tuesday, October 14, 2014 at 3:00pm. Space is limited, so
turn in your applications as soon as possible to ensure your spot on the trip!
CONTINUED ON BACK
Edison High - the Project SUCCESS folder in the Career and College Center
North Academy of Arts and Communications - the Project SUCCESS folder in the Counseling Office North Senior Academy - the Project SUCCESS folder in the Counseling Office
Patrick Henry High – the Project SUCCESS folder in the College and Career Center Roosevelt High - the Project SUCCESS folder in the College and Career Center South High – the Project SUCCESS box in the Main Office
Southwest High – the Project SUCCESS folder in the Counseling Office (see Barb) Washburn High – Ruby in the Counseling Office
Or you may:
MAIL TO - Project SUCCESS, College Tours, One Groveland Terrace, Suite 300, Minneapolis, MN 55403 SCAN AND EMAIL TO - [email protected]
How much does the North Dakota College Tour cost?
The cost of the tour is $125.00. Included in the price of the tour is transportation throughout Minnesota and North Dakota on a coach bus, walking tours and information sessions at each school, hotel accommodations for Friday night, meals, and Project SUCCESS staff who will guide you through a series of workshops and chaperone the trip. Once Paul has confirmed you have a spot, the $125 will be due no later than Wednesday, October 22, 2014 and should be mailed to: Project SUCCESS, College Tours, One Groveland Terrace, Suite 300, Minneapolis, MN 55403. Please make your check or money order payable to Project SUCCESS. Please do not send cash in the mail.
Are there reduced trip fees available for the trip?
The following is a tentative schedule for the Project SUCCESS North Dakota College Tour. We will be visiting three
universities in a short period of time. The schedule is rigorous, but by the end of the tour you will be that much wiser
in making decisions for your future!
Saturday, November 1, 2014
8:00-9:15am Breakfast at hotel, hotel check-out
10:00am Admissions presentation, campus tour, and Project SUCCESS workshop at North Dakota State University 12:30pm Lunch at North Dakota State University
1:30pm Travel to Moorhead, Minnesota
2:00pm Admissions presentation, campus tour, and student panel at Minnesota State University, Moorhead 4:00pm Project SUCCESS closing workshop
5:00pm Drive to Minneapolis, MN (dinner on the way) 9:30pm Bus drops off at the Project SUCCESS Office
**The bus will return to the Project SUCCESS office at One Groveland Terrace in Minneapolis (directly behind the Walker Art Center). Students should make arrangements to get a ride home from the Project SUCCESS office Saturday night. We will
have cell phones on the bus so students can call home as we get closer to Minneapolis.**
Friday, October 31, 2014
7:30am Bus departs from the Project SUCCESS office, drive to Grand Forks, North Dakota Introduction workshop during the bus ride
***Bus will leave promptly at 7:30am and cannot wait for latecomers. Please leave yourself plenty of time to get to our office and call in advance with any questions or concerns.
1:00pm Lunch at the University of North Dakota
2:00pm Admissions presentation and full campus tour of the University of North Dakota 4:00pm Explore Grand Forks, North Dakota
5:00pm Drive to Fargo, North Dakota
6:30pm Arrive in Fargo, North Dakota. Dinner, check in to hotel, explore Fargo, North Dakota
9:00pm Students will participate in a college tour workshop led by Project SUCCESS. This workshop is meant to help acquire the tools necessary to make this tour and others as productive and informative as possible.
Questions?
Call Paul at Project SUCCESS at (612) 876-3902 or email [email protected].
GETTING TO THE PROJECT SUCCESS OFFICE
All students should meet the bus at the Project SUCCESS office and arrange transportation home from the
Project SUCCESS office at the end of the trip.
We are located at One Groveland Terrace, Minneapolis, MN 55403. It is a two story tan brick building
directly behind the Walker Art Center at the corner of Hennepin Avenue and Groveland Terrace.
The bus will leave promptly at the time listed for the trip and cannot wait for latecomers. Please
leave yourself plenty of time to get to our office and call in advance with any questions or concerns.
Project SUCCESS is dedicated to making these tours accessible to all of our high school students.
Bus passes are available to get to and from our office. You can find bus route Information at www.metrotransit.org or by calling 612-373-3333.
Please indicate on the application if you will need a bus pass.
Bus passes can be found in the office where you picked up the application at your school.
North Dakota College Tour Application
University of North Dakota ·
North Dakota State University ·
Minnesota State University, Moorhead
Friday, October 31 - Saturday, November 1, 2014
Name
___
Male Female Gender Neutral Unlisted ____________High School You Attend
_________________________Grade:__________ Student ID #__________________________
Home Phone #
____ __ ____ Student Cell Phone #________________________________
Ok to text?
Yes
No
Email Address __________________________________________________
Address
_______________
City ____________________________________________________ Zip Code ____________________________
Parent / Guardian Name
_______________
Name & Phone Number of Emergency Contact
_____________________
1. Have you ever been on a college tour before? If yes, which colleges have you visited?
2. What school(s) are you most interested in seeing on this trip?
3. Have you applied to any of these school(s)?
Please circle one:
YES
NO
PLANNING TO APPLY
4. Please tell us why you want to go on this trip. (Write at least 5-7 sentences. Answer thoughtfully and include
specifics about how this will help you in your college search, why you want to see these specific schools, and what specifically you hope to accomplish on this trip. This will be considered in determining whether you are given a spot. Attach an extra page if necessary.)Make sure to fill this out completely and return it as soon as possible, but NO LATER THAN Tuesday,
October 14, 2014 at 3:00pm. Space is limited so do not wait until the deadline to apply. Applications
received late or incomplete will only be considered for stand-by spots on the tour. After we receive your
application, Paul will look over your essay and call to confirm your place on the tour.
5. Do you have any dietary restrictions? (Vegetarian, allergies, etc.)
6. Because this trip is a 2 day event, are there any medical conditions or medications that we should be
aware of? YES NO (please circle one – if “yes”, please explain)
7. The cost of the tour is $125.00. Once Paul has confirmed that you have a spot, the $125 will be due no later
than Wednesday, October 22, 2014.
Limited need-based reduced trip fees are available for up to $75 of the trip cost. We ask that if you do have the
funds to cover your trip, that you pay the full amount. However, Project SUCCESS wants to ensure that we include
all students who are serious about their college search, regardless of cost. If you are not able to pay the full $125,
we appreciate the partial contribution you can make toward your trip cost. Your contribution will help us to continue
bringing young people on college tours each year and to serve our growing community of students. Do you want to
be considered for this need-based reduced trip fee?
YES, I want to be considered for this reduced trip fee.
NO, I do not need to be considered for this.
If you checked yes, Paul will call you to discuss the reduced trip fee. Please be prepared to tell us how much you
will be able to contribute towards the cost of your trip.
8. Hotel rooms are separated by gender. In order to make this tour affordable for everyone, students will be 4 to a
room at the hotels where there are 2 queen sized beds. Each student will be sharing a bed with another student. If
you know another student who is going on the trip and you would like to share a room, please let us know. If you
feel uncomfortable sharing a bed, you may bring a sleeping bag and sleep on top of the bed instead.
Are you aware of the sleeping arrangements and is this ok with you?
YES, I am ok with this arrangement.
NO, I am not comfortable with this arrangement.
9. Student Signature
X
Date
10. Parent/Guardian Signature
X
Return the completed application, essay and the following waivers to:
Edison High - the Project SUCCESS folder in the Career and College CenterNorth Academy of Arts and Communications - the Project SUCCESS folder in the Counseling Office North Senior Academy - the Project SUCCESS folder in the Counseling Office
Patrick Henry High – the Project SUCCESS folder in the College and Career Center Roosevelt High - the Project SUCCESS folder in the College and Career Center South High – the Project SUCCESS box in the Main Office
Southwest High – the Project SUCCESS folder in the Counseling Office (see Barb) Washburn High – Ruby in the Counseling Office
OR YOU MAY:
MAIL TO - Project SUCCESS, College Tours, One Groveland Terrace, Suite 300, Minneapolis, MN 55403 SCAN AND EMAIL TO - [email protected]
North Dakota College Tour: Student Agreement
This trip provides a valuable opportunity to inspire you by showing the many possibilities out there for your college
career and inform you of the details necessary to succeed in that arena. Equally as important on this trip is your
safety. Over the years, we have developed a list of rules that will ensure you and all other participants have a safe
and pleasant trip. Please read the list carefully. In order to come with us to visit colleges on this trip each student
MUST agree to and sign a copy of these rules.
Important Note: We know some students will be 18 at the time of the trip. We follow the same rules as those of
your school. All students, no matter what age, will be asked to follow these same rules.
1. There will be plenty of time for students to “hang out” with friends during the day and in hotel common areas.
a. At no time will students be allowed in another hotel room that is not their assigned room.
b. At no time will any student with the Project SUCCESS group be allowed to enter the bedroom of a
person not with Project SUCCESS.
c. At no time will any person not with Project SUCCESS be allowed to enter the bedroom of someone from
our group.
d. Sexual activity and intimacy between all participants on a Project SUCCESS College Tour is prohibited in
order to create a safer, more respectful, more drama free experience for everyone.
2. The use of alcohol and/or drugs is illegal and strictly forbidden on this trip. Students who choose to use alcohol
and/or drugs will be sent home immediately at the expense of their families and your schools will take
disciplinary action.
3. All activities during the 2 day trip will be chaperoned by a Project SUCCESS Facilitator. Students will not be
allowed to leave the group or the hotel to wander on their own. They must have a chaperone accompany them.
4.
The purpose of this tour is to visit the different colleges and universities to get a feel for college life at the
schools. The 2 day itinerary is very full with activities at the colleges/universities and there will not be time to
visit with friends or relatives that may live in the area. It is important to note
that this trip is not a
“sight-seeing” expedition or a shopping trip. If those are your reasons for attending, this is not the right trip for you.
5. There is to be no smoking at any time on the trip.
I understand and will adhere to the rules set forth in this agreement.
X
___________________________________
X
_______________________________
Participant Name (Print)
Parent/Guardian Name (Print)
X
___________________________________
X
_______________________________
Participant Signature
Parent/Guardian Signature
X
___________________________________
X
_______________________________
Project SUCCESS
WAIVER AND RELEASE OF LIABILITY FOR MINORS
In consideration of being able to participate and travel with Project SUCCESS and _________________School, the undersigned:
1. Agree that the parent(s) and/or legal guardian(s) will instruct the minor participant that during the course of the trip, he or she should inspect all facilities and transports used, and if the participant believes anything is unsafe, he or she should immediately advise his or her supervisor of such condition(s).
2. Agree that the parent(s) and/or legal guardian(s) will instruct the minor participant that during the course of the trip, he or she is to obey all laws and rules of conduct, and to exercise ordinary caution in any and all activities during the course of the trip, and if the participant observes any conduct which he or she believes to be unlawful, unsafe, or in violation of any rules of conduct, he or she should immediately advise his or her supervisor of such conduct.
3. Acknowledge and fully understand that each participant will be traveling via commercial carrier and residing in temporary accommodations. Such travel and accommodations involves the risk of injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions, or negligence, but also the actions, inactions, or negligence of others, or the condition of the facilities or mode of transport used. Further that there may be other risks not known to us or not reasonably foreseeable at this time.
4. In the event of any of the above events occurring the undersigned assumes all the foregoing risks and accepts personal responsibility for damages and releases, waives, discharges and covenants not to sue Project SUCCESS and ____________ School, their respective administrators, directors, agents and other employees of the organizations, other participants sponsor-ing agencies, sponsors, advertisers, and if applicable, owners and leasers of facilities and modes of transport used dursponsor-ing the course of the trip, all of which are hereinafter referred to as “releases”, form any and all liability to each of the undersigned, his or her heirs and next of kin, for any and all claims, demands, losses or damages on account of injury, including death or dam-age to property, caused or alleged to be caused in whole or in part by the negligence of the released persons or otherwise. 5. In the event of any litigation, the undersigned agrees to resolve all issues under the laws and rules of the State of Minnesota.
I/WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT WE HAVE GIVEN UP
SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY.
Signature of Participant:
X
__________________________________ Date:
X
_______________________
Printed Name of Participant:
X
_______________________________ Date of Birth:
X
_________________
Signature of Parent or Guardian:
X
____________________________ Relationship:
X
_______________
Address of Participant:
X
__________________________________________________________________
City:
X
_____________________________ State:
X
_________________ Zip:
X
__________________
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Visual Photographic Release Form
I consent for myself __and/or I consent for my minor child X ,
(Parent/Legal Guardian) (Child’s Name)
to have images taken in still or moving photography or any other medium to be used for promotional materials for Project SUCCESS. I waive all claims for compensation for such use or for damages.
Such photographs are classified as private under the Minnesota Data Privacy Act and will only be used as specified above or by special request of Project SUCCESS. I also understand that signing this release is purely voluntary and that application for services or my relationship with Project SUCCESS will not be affected in any manner whatsoever by virtue of signing or refusing to sign this release.
