Application for the Trulaske Leaders Academy

advertisement
 The Robert J. Trulaske, Sr. College of Business at the University of Missouri serves over 4,000 undergraduate students, offering business administration degrees in marketing, finance, accounting, and management. Located in Cornell Hall, it serves as an outlet for academic achievement, student involvement, and for many, a home away from home. What is it really like being a business student at Mizzou? All the brochures, pamphlets, and tours only give you a small glimpse of reality. The Trulaske College of Business Student Council is hosting the third annual Trulaske Leaders Academy to allow prospective business leaders a chance to see all that Mizzou has to offer. This event for high school seniors allows you to interact with current business students and faculty, meet students from all over Missouri, and develop new leadership and professional skills in a fun, exciting atmosphere. This event will be held on November 9, 2012 on Mizzou’s campus. Check-­‐in will begin at 10:00 am and the program will conclude at 3:30. The cost for the event is $20, which includes lunch, all activities, and a t-­‐shirt. We encourage all high school seniors interested in business and leadership to apply. Applicants must complete all attached forms and be post-­‐marked by October 19, 2012. Please complete attached forms and mail to: Trulaske College of Business Student Council 110 Cornell Hall University of Missouri Columbia, MO 65201 If you have any questions, please feel free to contact Student Council representatives: Bobby Hofman Emily Hoogerwerf (314) 520-­3500 (563) 340-­1146 Robert.S.Hofman@mail.Missouri.edu EJH6G7@mail.Missouri.edu Application for the Trulaske Leaders Academy October 19, 2012 Please complete the following forms. Incomplete applications will not be considered. Name: _________________________________ Intended Major: ________________________ Age: _________ Birth Date: ___________________________ Gender: Male Female High School: _______________________________________ T-­‐shirt Size: S M L XL E-­‐mail: ____________________________________________________ GPA/Scale: ______________ Address: _____________________________________________________________________________ City: ________________________________________ State: _______ Zip:____________________ Home #: ____________________________________ Cell #: _________________________________ EMERGENCY CONTACTS: Name: ___________________________________ Relationship: ____________________________ Cell #: ___________________________________ Work #: __________________________________ Name: ___________________________________ Relationship: ____________________________ Cell #: ____________________________________ Work #: _________________________________ If necessary, I do approve of officials taking my child______________________________, to the nearest doctor or hospital. I further understand that should health problems arise, I will be notified, but that if I cannot be reached by telephone, such medical treatment, including surgery, as deemed necessary by competent medical personnel, would be rendered. ________________________________________ _________________________________ Guardian Signature Date _________________________________________ __________________________________ Printed Name Relationship to Student EVENT ACCEPTANCE: Educational events and activities are coordinated by the University of Missouri Trulaske College of Business department. All participants must observe the following guidelines for conduct: 1. Participate fully in all sessions and observe the established agenda. 2. Show respect for property/facilities used during the event and assume financial responsibility for any damages they cause. 3. Appropriate and courteous behavior is expected. Swearing and obscene gestures are not permitted. All should be treated with respect and common courtesy. Participants are expected to dress appropriately. Clothing with alcohol or tobacco advertisements or sexual connotations, etc. is prohibited. 4. No alcohol, stimulants, non-­‐prescription drugs or tobacco products will be allowed. We understand and accept the responsibility for following the above guidelines, and understand that failure to do so will result in dismissal from the event or activity. Further, we accept financial responsibility for damages to property or materials, travel costs, and/or program costs which might result from violation of this agreement. We understand and agree that in consideration of the acceptance of my child in these activities, we release the Trulaske College of Business, the Curator of the University of Missouri, their respective officers, agents, and /or employees from all liability and loss (including court costs and attorney fees), resulting from property damage, personal injury and bodily injury, including death, to me or my child in the course of these events. We will be bound by all rules and regulations while participating in said events. Youths Signature: ____________________________________________ Date: _______________ Printed Name: ______________________________________________________________________ Parent/Guardians Signature: _________________________________ Date: ________________ Printed Name: ______________________________ Relationship to Student: _____________ PHOTO POLICY: Public Relations are an important part of the Trulaske College of Business program. Images (including photographs and video) are used in various print and electronic media to recognize member for their work and to let others know what is happening in the Trulaske College of Business. Should you prefer that your child’s image not be taken at the high school weekend, we want to work with you to keep his or her image from being taken. Because there are so many students involved in the weekend events, we cannot assure you that your child’s image will not be taken. We will ask the business staff to honor individual requests. Should an image of your child be made and used against your wishes, please let us know so that we will not use it again in the future. Please sign the following release. Official Photo Release For valuable consideration received, I hereby give the Curator of the University of Missouri, a public corporation, the absolute and irrevocable right and permission with respect to the photographs that the University has taken of me on October 21, 2011 at the Trulaske Leaders Academy. a) To copyright the same in its name, The Curator of the University of Missouri. b) To use, reuse, publish and republish the same in whole or in part, individually or in conjunction with other photographs or images, in any medium, including, but not limited to, posting of its World Wide Web sites, for University purposes, and c) To use my name in connection therewith if the University so chooses. I hereby release The Curator of the University of Missouri, a public corporation, each and every member of the Board of Curators, its employees, agents, assigns and any designee from any and all claims and demands arising out of or in connection with the use of such photographs, including but not limited to any claims for defamation or invasion of privacy. I am of legal age and have read the foregoing and fully understand the contents thereof. Print Name: _____________________________________________ Date: ______________ Please list your high school involvement. Activities/Extra Curricular: _____________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Leadership Experience: _________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Honors or Awards: _______________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Community Service: _____________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Event Cost: $20 (includes a t-­‐shirt, all activities, and lunch) Payable by check to: Trulaske College of Business Student Council *Only 30 spots are available. If there are more than 30 applicants, a selection committee will review and select applicants based on applications. Should the student not be selected for the Trulaske Leaders Academy, payment will be returned in a timely manner. Applications due: October 19, 2012 Applicants notified by: October 26, 2012 Mail form and payment to: Trulaske College of Business Student Council 110 Cornell Hall Columbia, MO 65201 
Download