Kogod Summer Institute Registration Form ____________________________________ ________________________________ Student Name Student Email _______________________________________________________________________ Street Apt. No. City State Zip __________________________ _______________ ___________________________ Date of Birth Gender Student Cell _______________________________________________________________________ High School __________________________________________ ___________________________ High School City, State Grade Completed as of August 1, 2015 ____________________________________ ________________________________ Parent/Guardian Name Parent/Guardian Email ____________________________________ ________________________________ Parent/Guardian Phone (Day/Cell) Parent/Guardian Phone (Evening) _______________________________________________________________________ Please list any allergies, medical conditions, food allergies or other pertinent information about student. Student Preference: Please mark your first and second choice. _Business and Entertainment Camp _ Sports Entrepreneurship Camp Why did you choose ___________ as your first choice? _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Terms and Conditions Fees Please check the appropriate box. □ Student will stay on campus Program fee: $1,900 □ Student will commute (must be on campus 8am-11pm) Program fee: $1,700 Payment There are two ways to pay for KSI. Please make check or money order payable to American University, and send to Abby Moreau, Kogod School of Business, American University, 4400 Massachusetts Avenue NW, Washington, DC 20016. To pay by credit card, please contact Abby Moreau at 202-885-6693 with your credit card information. Please note that payments are processed through Student Accounts and are subject to any penalties levied by that office. $300 non-refundable deposit is due by May 1st in order to reserve student’s spot **Deposit must be paid by check or money order Full payment must be received by June 15, 2015 Cancellation and Refund To receive a refund you must send notice of cancellation to ksi@american.edu by July 1, 2015. The $300 nonrefundable deposit will not apply. After July 1, 2015 there will be no refunds. Housing, Dining, and After Hours AU’s Office of Housing and Dining Programs offers student accommodations; however, on-campus residency is not required. Students living on campus will reside in double-occupancy rooms with an onsite resident staying on the same floor. Each air-conditioned room contains two twin-sized beds, two desks, two chairs, two secure closets, and linens. After-hour activities are planned for the students. The program fee includes the costs of housing (if student stays on campus), on-campus dining, and after-hours activities. Logistics Check-In: Students living on campus must arrive and check-in on Sunday, August 2 between 1-3pm at the Kogod School of Business front desk. Commuter students must arrive and check in on Sunday, August 2 between 3-4pm at the Kogod School of Business. Orientation is mandatory and will begin at 4pm for all students. Presentations: The closing ceremony and final presentations will be held on Friday, August 7 at 3:30pm-6:00pm. Family and friends are encouraged to attend. Check-Out: Students check out of housing on Friday, August 7 by 8:30am and bring their belongings to the Kogod School of Business, where they will be kept in a locked room for the remainder of the day. Belongings can be retrieved after the closing ceremony on August 7. Professionalism The KSI is another step towards each student's professional career. As such students will be coached through professional behaviors by the KCCD team, as well as, conducting themselves with maturity in all events. If a student is caught leaving campus after curfew or not following rules and regulations set forth at the beginning of the week, their parents will be contact immediately and they will be dismissed from the program with no refund. Information For more information about the Kogod Summer Institute 2015 camps or to make a credit card payment, please contact Abby Moreau at abby@american.edu or 202-885-6693. □ I have read and agree to all of the Terms and Conditions of this program. ____________________________________________________ _______________________ Student’s Signature (required) Date ____________________________________________________ _______________________ Parent’s/Guardian’s signature (required) Date Please send completed application to: Email: ksi@american.edu Fax: 202-885-1108 Mail: Abby Moreau Kogod School of Business American University 4400 Massachusetts Avenue NW Washington, DC 20016