Student Application Orientation

STUDENT APPLICATION ORIENTATION

This Student Application Orientation form registers the applicant for a required orientation program and documents acknowledgments required by the institution. Completion of this form constitutes a certification that the information provided is accurate, that the applicant will comply with orientation requirements and institutional policies, and that the applicant (or parent/guardian if a minor) consents to the terms set forth below.

Student Information

Parent / Guardian Information (if applicable)

Student is under 18 years of age (if checked, parent/guardian information and signature may be required)

Orientation Session Selection

Select preferred orientation session. Sessions are assigned on a first-come, first-served basis and attendance at one session is required prior to course registration.

Morning Session — Date:

Afternoon Session — Date:

Evening Session — Date:

Format: In-person Virtual

Payment option: Full payment Installment plan Financial aid / waiver requested

Accessibility and Medical Information

The institution will make reasonable accommodations for applicants with documented disabilities. Documentation may be requested to confirm accommodation needs for orientation activities.

I request accommodations for orientation activities

Emergency Contact

Academic Policies and Acknowledgments

By registering for orientation, the applicant acknowledges that attendance is mandatory unless an approved exception is granted in writing. Orientation includes advisement, registration assistance, campus safety information, and academic policy briefings. Failure to attend a scheduled orientation may delay registration or enrollment. The applicant affirms that all information provided on this form is true and complete to the best of their knowledge; knowingly providing false information may be subject to disciplinary action.

I acknowledge that attendance at orientation is required and understand potential registration consequences for non-attendance.

I acknowledge the institution's code of conduct applies during orientation and agree to abide by all policies communicated at orientation.

I acknowledge academic integrity expectations and understand that violations may result in disciplinary action.

I consent to receive orientation-related communications (phone, text, and email) at the contact information provided.

Media Release

During orientation, photographs or recordings may be taken for institutional informational and promotional purposes. The applicant may opt out by declining consent below. If consent is granted, the institution is authorized to use images in institutional materials without compensation.

I consent to the use of my image for institutional informational and promotional purposes.

Emergency Medical Treatment Authorization

In the event of an emergency during orientation activities, the applicant (or parent/guardian) authorizes institution representatives to obtain emergency medical treatment for the applicant if the applicant is unable to provide consent. The institution will make reasonable efforts to contact the emergency contact prior to or immediately after seeking treatment when practical.

I authorize emergency medical treatment for the applicant as described above.

Certification and Signature

By signing below, the signer certifies under penalty of institutional discipline that the information provided is true and complete, that the signer has read and understands the statements and acknowledgments contained in this form, and that the signer authorizes the institution to use and share necessary orientation information with institutional staff and partners in furtherance of the orientation process.

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