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Student Engagement

CCSC and ESC Travel/Retreat Waiver

Please fill out this form completely in order to participate in the Student Councils' Retreat on Friday, September 28 and Saturday, September 29th to Frost Valley YMCA in Claryville, New York.

Confidentiality Notice: A digital copy of this form will be taken with the SDA advisors. Please note that this form contains confidential information and will be handled accordingly. The information contained in this form will be only used for emergencies only.

Departments:

Student Engagement

First Name *

Last Name *

Which council are you a member? *

CCSC

ESC

Position on Council *

Columbia Email Address *

CUID # *

Cell Phone Number *

Permanent Address *

Health Insurance Provider *

Medical Insurance: Students participating in overnight trips associated with a student organization are required to have adequate medical coverage. Please share the provider and policy number of the insurance plan you will be covered by during this period. It is the responsibility of the student to have proof of medical insurance on his/her person during the trip.

Policy # *

I am at least 18 years old by the start of the trip. *

YES

If a student is not 18 by the start of the trip, a hard copy of this form will need to be processed with a parent/guardian signature.

Birthdate *

Year

Month

Day

Emergency Contact Information *

Relationship to Student *

Home Phone Number *

Cell Phone Number *

Allergies (Food, etc. If none, enter none.) *

Dietary Needs (If none, enter none.) *

Please let us know of your dietary needs. If you observe Kosher or Halal dietary laws, please let us know if eating vegetarian meals are ok.

Signature *

By typing in your name, this will serve as an official signature.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

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Columbia Outdoor Orientation Program Leader Consent Form

I am exercising my free choice to participate voluntarily in the Columbia Outdoor Orientation Program’s (COOP) Fall trip. I recognize that this decision involves certain risks and I am willing to accept responsibility for those risks.

Departments:

Student Engagement

Student Life

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Columbia Outdoor Orientation Program (COOP) Participant Consent Form

I understand that the goals of Columbia Outdoor Orientation Program (COOP) are to provide a positive experience in a supportive group environment. I am aware that as a participant I am required to follow the policies and guidelines set by COOP and instructions from the Outdoor Orientation Leaders. As part of Columbia University, COOP adheres to the University standards of respect for others. COOP is a substance-free program- alcohol or drugs of any kind are prohibited. Any violation of the substance policy may result in judiciary action.

Departments:

Student Life

Student Engagement

Read more about Columbia Outdoor Orientation Program (COOP) Participant Consent Form

Alternative Break Program Final Proposal

Final Proposals are due Wednesday, January 19, 2022 at 11:59PM.

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Proposal Process

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Request for Proposals

Application deadline extended: Monday, February 10th, 2014.

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Alternative Break Program Project Timeline

2021-2022 Academic Year

This year, we will only be accepting proposals for summer projects and encourage domestic and local locations.

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Alternative Break Program FAQ

Who is eligible to participate in an Alternative Break Program-supported project?

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Alternative Break Program Project Components

What the Program Provides You

To participate in the Alternative Break Program (ABP), project leaders must sign an agreement form to ensure they will adhere to a series of expectations.