Georgia Association of the Deaf Conference Support Description and by mikelbyington

VIEWS: 10 PAGES: 5

									                Georgia Association of the Deaf Conference Support
                     Description and Application Instructions
                             For Georgia Association of the Deaf’s
                   Workshops * By Laws Meeting * General Meeting * Activities

Support: Georgia Association of the Deaf Conference support includes a full conference combo
including registration fee to the conference. This does not include travel expenses incurred, as
per federal per diem, and lodging at the official conference hotel or a substitute hotel.

Eligibility: Students (over 18 years old) eligible for support must be senior in high school, an
undergraduate or graduate student enrolled full-time, and in good academic standing. Students
must be a member in good standing of Georgia Association of the Deaf at the time of the
application. Students must be nominated by a faculty member in the student’s college program
or principal where the high school senior attends. Preference will be given students who have not
previously received a GAD scholarship award.

Application for Support Check List

Application for Support must include:
       Completed Student Conference Support Application Form
       One-page (single-spaced) statement from the applicant demonstrating interest in
       attending the conference and commitment to share information gained or lessons learned
       with fellow students or colleagues. The statement will also be reviewed for quality of
       writing and overall enthusiasm for attending.
       Letter of support from full-time faculty in college program or principal of the school the
       student attends; validating the applicant is enrolled full time and in good academic
       standing in the college/university/high school. Support letters should also articulate
       how/why the student will benefit from attending the conference. The letter of support
       must be on official college/university stationery or school stationery.
       Parent’s Consent Form must be signed with understanding the student will attend the
       conference (only for high school seniors over 18 years old).
       If you are accepted, conference individual registration form (do not send money with this
       registration form) must be submitted within 15 days upon receiving acceptance letter.
       Must be GAD Member in a good standing.

Application Deadline

The application deadline is April 1, 2009. Everything should be put in a single package and be
postmarked by April 1, 2009.

Mail to: GAD Conference Support, Georgia Association of the Deaf, Post Office Box 1616,
Stockbridge, Georgia 30281. Applicants will be notified of the review committee’s decision
within two weeks after the application deadline.
Note: Event registration is separated from this application. Please visit the GAD website at
www.gadeaf.org to obtain instructions for registering to attend the conference.
Terms and Conditions:

       Students receiving support must attend the GAD’s all sponsored
       activities/workshops/meetings during the duration of the conference.
       Every recipient of support will be required to complete a two pages reflection (single-
       spaced) essay on the benefits of attending the Georgia Association of the Deaf
       Conference, lessons learned, and how the information was shared with fellow students or
       otherwise used. Support recipients must send essays to Georgia Association of the Deaf
       to be printed in the GAD Banner, within 30 days after the conference.

         Complete Support and Conference information is available at www.gadeaf.org

                            If you have any questions, please contact:

                                   Christopher M. Patterson
                                 Email: gadeafpres@gmail.com
                                     Fax: 1-800-594-4180
                                     Post Office Box 1616
                                  Stockbridge, Georgia 30281
                                    Georgia Association of the Deaf Conference Support
                                                                      Application Form
                                                                For Georgia Association of the Deaf’s
                                           Workshops * By Laws Meeting * General Meeting * Activities

                                                 2009 GAD Conference * 100th Birthday Bash Celebration
                                                                        July 30, 2009 – August 1, 2009

                    The GAD Conference Support program is sponsored by funds in honor of Walter Brown.


   Name

  Address
                                                            State/Zip Code
    City
                                                                Email
   Phone
                                                       Expected Graduation Date
 Degree(s):


Faculty/Principal’s
Name and School
                                                                     City/State
     Address
                                                                  Faculty/Principal
Faculty/Principal
                                                                       Phone
     Email

In Addition to this form, applications for support must include:
        One-page (single-spaced) statement from the applicant demonstrating interest in attending the
        conference and commitment to share information gained or lessons learned with fellow students
        or colleagues. The statement will also be reviewed for quality of writing and overall enthusiasm
        for attending.
        Letter of support from full-time faculty in college program or principal of the school the student
        attends; validating the applicant is enrolled full time and in good academic standing in the
        college/university/high school. Support letters should also articulate how/why the student will
        benefit from attending the conference. The letter of support must be on official college/university
        stationery or school stationery.
        Parent’s Consent Form must be signed with understanding the student will attend the conference
        (only for high school seniors over 18 years old).
        Statement indicating you are a member of Georgia Association of the Deaf (we will verify your
        membership)

                Please refer to the Instructions for Application available at www.gadeaf.org
                         for completed support details and application instructions.

                                       Send complete application to:
                                         GAD Conference Support
                                      Georgia Association of the Deaf
                                           Post Office Box 1616
                                        Stockbridge, Georgia 30281


_______________________________________________                              ______________________
Student’s Signature                                                          Date
                                      Parent Consent Form

Student’s Full Name: _______________________________________________

Dear Parent/Guardian:

As part of the Georgia Association of the Deaf Conference, your son/daughter will be
participating in sessions such as workshops, by laws meeting, and other activities. Please provide
the information below:

1)   In case of emergency, list two people to be contacted:

                          Emergency Contact #1                 Emergency Contact #2
      Name:
      Relationship:
      Day Phone:          (   )                                (    )
      Evening Phone:      (   )                                (    )
      Mobile Phone:       (   )                                (    )

2)   Does your child have a medical condition we should be familiar with? Yes            No
     If yes, please describe. Use the back, if necessary.


3)   Does your child require medication? Yes         No
     If yes, note provision you have made and any information we must be aware of. Use the
     back, if necessary.


4)   Does your child have any dietary restrictions? Yes        ___ __No
     If yes, please describe. Use the back, if necessary.


5)   In case medical information is required, your family doctor may have to be contacted:
     Family Doctor:                                                Phone Number:
                                                                   (       )

I, _____________________________, Parent or Guardian of                     _________ (the
“Student”), hereby give my consent to the Student’s participation in the GAD Conference, which
includes participations in workshops, by laws meeting, and other activities at the GAD
Conference. I understand that the Student may be walking, taking public transportation or
traveling by other means to these locations without teacher or mentor supervision. Georgia
Association of the Deaf, Inc. will not provide supervision for your son/daughter at the GAD
Conference. Please discuss this with your son/daughter.

In consideration of the permission granted to me and to the Student for the Student to participate
in the GAD Conference, we, the Student and the Parent or Guardian, to the extent permitted by
law, do hereby (1) assume any and all risk and liability for losses or damages to property and for
damages, injuries or death to the Student which may arise in connection with travel to or
participation in activities, programs or functions sponsored by Georgia Association of the Deaf or
its affiliates, and hereby, for the Student and for myself and our heirs, executors, administrators,
successors and assigns, do release and discharge the Georgia Association of the Deaf, Inc. and
each of their affiliates, officers, directors, employees, volunteers, predecessors, successors,
representatives and assigns (collectively “GAD”), from any and all claims, actions, and liabilities
arising from or relating to with travel to or participation in activities, programs or functions
sponsored by GAD or its affiliates, (2) grant permission for videographic, photographic or audio
recording of the Student’s participation in activities, programs or functions sponsored by GAD or
its affiliates, and for the use of such recordings by or with the consent of GAD for promotional
and educational purposes and (c) grant permission for GAD to track the educational and
employment history and status of the Student following the Student’s participation in the GAD
program and to obtain student transcripts for that purpose from educational institutions attended
by the student upon presentation of a copy of this document to such institutions.

We have carefully read the foregoing consent and release form and know and understand the
contents thereof. We sign this consent and release voluntarily as our own free act with knowledge
of its significance, intended to be legally bound thereby.


Student Signature:                                                      Date

Parent/Guardian Signature: _________________________________ Date

								
To top