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Residential program for high school students. Discover what life is like on a college campus.
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N.C. A&TSummer Exploration
College Program2016
PROGRAM DATES:
July 10-16, 2016July 24-30, 2016
CHALLENGE
YOURSELF
ACADEMICALLY
CHALLENGE
YOURSELF
ACADEMICALLY
Overview
a High School residential programa High School residential program
Overview
a High School residential programa High School residential program
Challenge yourself academically and experience college life with our one-week non-credit residential summer program for raising high school sophomores, juniors and seniors.
As a Summer Exploration College Program student, you choose two of 14 seminars that will expand your academic horizon. You take part in lectures, discussions, individual and group work, and project-based assignments as well as field trips. Our small class sizes mean that you receive individual attention from our experience college instructors.
Summer Exploration Program students also participatte in a college admision and financial aid workshop that provides insight into the college application and FAFSA process, and how to scrach scholarships.
Dates:· Dates: July 10 – 16, 2016, July 26 – 30, 2016
· Grade level: Students entering 10th, 11th or 12th grade in fall 2016
The Summer Exploration College Program allows students to preview college academics and social life. During this one-week non-credit residential program, students participate in two non-credit academic seminars of their choice. In addition, daily scheduled activities on campus and throughout Greensboro provide an opportunity for students to build a strong social community while getting to know North Carolina A&T State University and the city of Greensboro.
Registration Information:To apply online, visit https://ncat.gosignmeup.com/SECP2016
Program Fees:Non-refundable Deposit: $500 due at the time of registration.
Total Charge: $2,350
The total charge for Summer Exploration College Program includes tuition, housing, sponsored activities transportation, and all meals in the dining hall. It also includes class materials and all sponsored activities during the two-week program.
Spending money are not included in the total charge. You will need additional funds for personal items and non-sponsored activities. You may also sign up for a two-week membership to the Campus Recreation Center for an additional fee when you arrive on campus.
Payment Deadline
The program fee can be paid in one, two, three or four installments. For other options, please contact the Continuing Education staff at 336-334-7810. A $500 non-refundable deposit is required at the time of registration that will be deducted from the total registration fee.
A $500 non-refundable deposit is due by . The balance can be paid in full by June 30, 2016. February 15, 2016A payment plan is available and due dates are below:
NOTE: There is no financial aid available for the Summer Exploration College Program.
No refund or reduction in the total charge will be made for a student who arrives to the program late, leaves the program early, or is dismissed from the program due to violation of the program guidelines.
Program Information
Dates Amount
March 15, 2016
April 15, 2016May 16, 2016
June 15, 2016
$463$463$463
$461
Program Calendar
Summer 2016Session 1
July 10 - 16, 2016
Session 2
July 24 - 30, 2016
When making travel arrangements, please keep the following in mind:
Check-in:
Students should arrive for check-in at Aggie Village (see map), between 2-4 p.m. The program begins promptly at 4:15 a.m. with the opening program.
Departure:
Summer Exploration College Program ends at 12 Noon on Saturday of each session—after the closing program. Students should pack up their rooms the evening before in order that they can leave at the 12 Noon pm room check out time.
Closing Program:
Closing program occurs on Saturday morning from 9:15 a.m. – 11:45 a.m. Family and friends are invited to attend. An email is sent out one week before the closing presentation with further details and location.
Certificates of Completion:
Students receive a certificate of completion for seminars. Students who are dismissed from the program due to a violation of the program guidelines will not receive their certificates nor refund.
North Carolina A&T State University's Summer Exploration College Program seminars allow you to engage in a high level of learning and achievement with other high school students—without focusing on grades. Choosing two non-credit seminars (one morning, one afternoon), you will participate in lectures; discussions, individual and group work, project-based assignments, and field trips. Small class sizes ensure ample attention from experienced college instructors as you meet the challenges of college-level study. Seminar classes requires mandatory attendance.
At the end of each session, students will receive a certificate of completion.
Morning SeminarsŸ Creative WritingŸ Mechanical EngineeringŸ JournalismŸ Conception TechnologyŸ Graphic Design TechnologyŸ Civil EngineeringŸ Leadership StudiesŸ Topics in Animal Sciences
Seminars:
Afternoon Seminars Genetics Computer Science Entrepreneurship Transportation Logistics Ethics Advance Topics in Mathematics
:How to ApplyAdmissions
We consider applications who are entering their sophomore, junior or senior year of high school in fall 2016. Admission is limited and on a first come basis.
How to Apply
Register online and pay a $500 non-refundable deposit. Visa, MasterCard, American Express, and Discover accepted. When registering online, applicants will receive and application package by email. Students will need to submit a 150 word personal statement describing why you want to attend the Summer Exploration College Program. Email a copy of your high school transcript, including your fall 2015 grades, to [email protected].
Note: Email is the primary form of communication during the application and admission process. Please ensure that both parent and student emails are entered correctly when registering. Inform our office immediately if there is a change in either email address.
Email: [email protected].
Office: 336-334-7810Fax: 336-334-7081
Mailing Address:Pat White, Associate DirectorNorth Carolina A&T State UniversityOffice of Continuing Education - Summer Exploration College Program1601 East Market StreetGreensboro, NC 27411
Seminars:
Group outings to the Joint School of Nanoscience and Nanoengineering, Greensboro Grasshopper Stadium, Spare Time, Air Bound. University’s Recreation Center, game nights in the dorms, and basketball at Moore Gym.
These are just a few examples of the activities that students might participate in as part of Summer Exploration College Program. Events help orient you to the city of Greensboro and help you get to know the other students in the program. Optional and impromptu events planned by the Program Assistants and staff take place throughout the program.
In addition, we offer workshops with the North Carolina A&T State University Offices of Admissions, Financial Aid, Counseling Services, Career Services, Center for Student Success, and Summer Sessions. These workshops focuses on helping you prepare for the college admissions processes along with how to succeed when you get to college.
Note: We aim to build a strong community among Summer Exploration College Program students, and as a result, participation is mandatory for all planned activities. During scheduled free time, students will have an opportunity to explore outside activities.
Sample of Social Events
Schedule - Sunday (Arrival)
Move in - Aggie Village 2-4 p.m.
Open Program 4:15 - 5:15 p.m.
Dinner 5:30 - 6:30 p.m.
Evening Activity or Study Session 6:30 - 9 p.m.
Scheduled Activity/Free Time 9 - 11 p.m.
The Schedule below will give you a better idea of what your days will look like
Schedule - Monday - Friday
Breakfast 7 - 9 a.m.
Morning Seminar 9:30 - 11:30 a.m.
Lunch 11:30 a.m. - 1p.m.
Afternoon Seminar 1:15 - 3:15 p.m.
Afternoon Activity or Study Session 3:20 - 5 p.m.
Dinner 5 - 6:30 p.m.
Evening Activity or Study Session 6:45 - 9 p.m.
Scheduled Activity/Free Time 9 - 11 p.m.
Curfew 11 p.m. (Sunday - Thursday), Midnight
Schedule - Saturday (Departure)
Breakfast and Closing Program 8 - 11:30 a.m.
Check out Noon
A Day in the Life of a Summer Exploration StudentAs a Summer Exploration College Program student, your day-to-day schedule includes structured time in and out of class.
Each weekday, you attend morning and afternoon seminars. You take a break for breakfast, lunch, and dinner in Williams Cafeteria, which offers a large assortment of cuisines for all tastes, including vegetarian and vegan options. The dining staff can also help if you have food allergies or other dietary restrictions. Please talk with the dinning staff when entering the cafeteria.
After class, you participate in fun, organized social activities during the afternoon or evenings and on weekends. These events give you a chance to socialize with your new friends and peers while introducing you to North Carolina A&T State University and Greensboro.
There is plenty of free time to do your homework, enjoy the campus, and explore the city. You can purchase a short-term membership to North Carolina A&T State University's Fitness & Recreation Center, study at Bluford library, take in a Class A baseball game, or visit our downtown area.
Frequently asked questions
1. What year do I need to be entering in fall 2016 to participate in Summer Exploration
College Program?
You need to be entering your sophomore, junior, or senior year.
2. Is Summer Exploration College Program a commuter or residential program?
Summer Exploration College Program is a residential program and participating students are required to live in the dorms on campus.
3. Can I earn college credit by participating in Summer Challenge?
No. Summer Exploration College Program is non-credit. At the end of the summer, students will receive a certificate of completion.
4. What does the total charge include?
The total charge includes tuition, housing, meals, scheduled activities, and classroom materials.
5. Can international students participate in Summer Challenge?
Yes, international students are welcome to join the program with proper documentation.
6. How do I apply for Summer Exploration College Program?
You can apply online at https://ncat.gosignmeup.com/secp2016.
7. What are the admissions criteria?
We are looking for motivated high school students who are taking a college preparatory curriculum.
8. Is there any financial aid?
There is no financial aid for the Summer Exploration College Program.
9. How long should it take for me to receive a decision on my application?
You will receive an email confirmation once your application is complete.
10. What classes are offered as part of Summer Exploration College Program?
Summer Exploration College Program students enroll in two North Carolina A&T State University seminars classes. Seminar classes range from Engineering, Leadership Studies, Animal Science, Transportation Logistics, Technology, Genetics and Mathematics.
11. How many students are in each seminar?
There are typically between 10 and 28 students in each course depending on the seminar.
12. Is there a curfew?
Yes. The curfew is 11 p.m. Sunday-Thursday and midnight Friday.
13. Are students free to leave campus?
All planned activities are mandatory. However, during free time students can leave campus as long as they are accompanied by at least one other student and let a program assistant know they are leaving.
14. What is the schedule of activities for Summer Exploration College Program?
You can see a sample schedule of activities on the Schedule of Social Events page.
15. Can a parent visit a student during the program?
If a parent or guardian is in town and would like to spend time with his or her son or daughter or if the student would like to visit relatives or family friends within city limits, it must be scheduled during the student's free time when there are no activities planned. The student must return to the dorm by curfew. In addition, the student’s parent or guardian must send written permission to the Continuing Education office at least 48 hours before the student is planning to leave campus. The parent or guardian can email a letter of permission to [email protected]. The letter should include details about the visit, such as the time that the student will leave and return to campus and the cell phone number of the relative or family friend the student will be with. A student is authorized to leave once our office sends the student's parent or guardian a confirmation email.
16. Can a student visit relatives or family friends in the Greensboro area during the
program?
Students are able to visit relatives or family friends within city limits. The visit must be scheduled during the student's free time when there are no activities planned. The student must return to the dorm by curfew. In addition, the parent or guardian must send written permission to the Continuing Education office at least 48 hours before the student is planning to leave campus. The parent or guardian can email a letter of permission to [email protected]. The letter should include details about the visit, including when the student plans to leave campus, who the
student will be visiting, the location of the visit, and the time the student will return to campus. A student is authorized to leave once our office sends the student's parent or guardian a confirmation email.
17. Will participating in this program help me get into North Carolina A&T State University?
No. Participating in the Summer Exploration College Program does not guarantee acceptance
or bear any weight in the application process.
18. Is there a payment plan option?
Yes.The program fee can be paid in one, two, three , or four installments. For other options,
please contact the Continuing Education staff at 336-334-7810. A $500 non-refundable deposit
is required at the time of registration that will be deducted from the total registration fee.
19. If I am younger than 16 years old, may I live in the residence hall?
Yes. Students are housed with other high school students participating in the Summer
Exploration College Program.
20. Are sheets, towels, and pillows supplied?
No. Students should bring them f rom home, purchase them during the day one scheduled run
to the nearby Walmart. Shuttle will be provided at no cost to students.
21. May I check into the residence hall before the check-in dates?
No. Early chec k-in is not permitted.
22. Will someone meet me at the airport?
No. Student must arrange for transportation from the airport to campus.
23. Can mail or packages be sent to Summer Exploration College Program students?
No. packages/mail should be sent to students during the Summer Exploration College Program.
Forms The following is a list of forms that you will need for your application. All application materials should be emailed or mailed with SECP2016 on the subject line to: [email protected]
Mailing Address: North Carolina A&T State University Office of Continuing Education - Summer Exploration College Program 1601 East Market Street Wendover Bldg., Suite 109 Greensboro, NC 27411
If you have any questions, we encourage you contact us directly; we are happy to help.
� Online Registration
� Application Form
� Consent to Treatment Form
� Waiver of Liability Form
� Photo Release Form
� Medical Form
� Photo Consent Form
CONSENT FOR MEDICAL TREATMENT FORM
For your child to receive medical treatment in the event of illness or injury while participating in the
Summer Exploration College Program, please provide the following information and sign the consent form
below.
Please use one form per student:
List all medications your child is currently taking: __________________________________________________ ___________________________________________________________________________________
Student's Name: _____________________________________________________________________________
Date of Birth: ________________________ Last 4 digits of SS#: ____________________________
Parents/Guardians Names:_____________________________________________________________________
Address: ______________________________________________________________________________
City:_________________________________ State: ______________ Zip:____________________
Insurance Company Name: ____________________________________________________________________
Policy Number:______________________________ Name of Policy Holder: ___________________________
Employer: ________________________________________________________________________________
Physician Name: __________________________________________________________________________
Address: __________________________________________________________________________________
_________________________________________________________________________________________ City State Zip
Telephone: _____________________ Fax: ________________________ Date of last Tetanus shot: ________
List any medical condition for which your child is being treated: __________________________________
List all food and medication allergies: _______________________________________________________
List all special accommodations and dietary restrictions: ________________________________________
MEDICAL TREATMENT CONSENT: I, ________________________________________ (parent/guardian), do
hereby consent and grant permission for my child, _____________________________________________, to
receive necessary medical treatment in the event of an injury or illness while attending the Summer Explorations
College Program. I accept full responsibility for the payment of all such medical charges. I hereby indemnify North
Carolina A&T State University, the Student Health Center, its employees and representatives and hold them
harmless in the exercise of its duty under this authority.
_____________________________________________________ Signature: Date:
North Carolina A&T State University Photo Release Form
I grant permission to the Office of Continuing Education, on behalf of North Carolina A&T State University and its agents or employees, to use photographs taken of me on the date and at the location listed below for use in university publications such as recruiting brochures, newsletters, and magazines, and to use the photographs on display boards, and to use such photographs in electronic versions of the same publications or on University web sites or other electronic form or media, and to offer them for use or distribution in other non-university publications, electronic or otherwise, without notifying me.
I hereby waive any right to inspect or approve the finished photographs or printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photograph.
I hereby agree to release, defend, and hold harmless the North Carolina A&T Board of Directors, on behalf of North Carolina A&T State University and its agents or employees, including any firm publishing and/or distributing the finished product in whole or in part, whether on paper or via electronic media, from and against any claims, damages or liability arising from or related to the use of the photographs, including but not limited to any misuse, distortion, blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise, that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution.
I am 18 years of age or older and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.
North Carolina A&T State University Campus and External field trips – 7/10-16, 2016 or 7/24-30, 2016Location of Photo and Date
__________________________________________
Name (please print)
__________________________________________
Signature
__________________________________________
Signature of guardian if under 18 years of age
North Carolina Agricultural and Technical State University Summer Exploration College Program WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNIFICATION AGREEMENT
Waiver: In consideration of being permitted to participate in any way in the Summer Exploration
College Program hereinafter called “Activity”, I, for myself, my child, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue North Carolina Agricultural and Technical State University, its officers, employees, and agents from liability from any and all claims resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, my child's participation in the Activity.
Assumption of Risks: Participation in Activity carries with it certain inherent risks that cannot be
eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to
another, but the risks range from1) minor injuries such as scratches, bruises, and sprains to 2) major
injuries such as eye injury or loss of sight, joint back injuries, heart attacks, and concussions to 3)
catastrophic injuries including paralysis and death. I have read the previous paragraphs and I know,
understand, and appreciate these and other risks that are inherent in the said Activity. I hereby assert
that my participation is voluntary and that I knowingly assume all such risks.
Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD North Carolina
Agricultural and Technical State University HARMLESS from any and all claims, actions, suits,
procedures, costs, expenses, damages and liabilities, including attorney's fees brought as a result of
my involvement in Activity and to reimburse them for any such expenses incurred.
Severability: The undersigned further expressly agrees that the foregoing waiver and assumption of
risks agreement is intended to be as broad and inclusive is permitted by the law of the state of North
Carolina and that if any portion thereof is held invalid, it is agreed that the balance shall,
notwithstanding, continue in full legal force and effect.
Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk, and
indemnity agreement, fully understand its terms, and understand that I am giving up substantial
rights, including my right to sue. I acknowledge that I am signing the agreement freely and
voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the
greatest extent allowed by law.
EVENT ORIENTATION SHEET: 1. In case of medical emergencies, Emergency Medical Services will be contacted. If you want medical treatment to be provided to your child, please also sign and return the Consent for Medical Treatment Form.
2. Participants are expected to represent themselves in an appropriate manner, abide by campus policies, and understand that they will be held accountable for their behavior.
I have read the above-mentioned document, understand it and agree to abide by the rules set forth.
Name of Participant_________________________________________________________________
Signature of Parent/Guardian____________________________________ Date________________
** Provision of Social Security
number is voluntary and is
requested solely for administrative
convenience, record-keeping
accuracy, and to provide a personal
identifier for the internal records of
this institution.
LAST NAME (PRINT) FIRST NAME MIDDLE **BANNER ID#
HOME ADDRESS (NUMBER & STREET) CITY STATE ZIP TELEPHONE #
DATE OF BIRTH: SEX M F MARITAL STATUS S M OTHER
Fr. Soph. Jr. Sr.
PREVIOUSLY ENROLLED HERE? Yes No
HOSPITAL HEALTH INSURANCE/ NAME OF COMPANY ADDRESS POLICY #
NAME & RELATIONSHIP OF NEXT OF KIN ADDRES TELEPHONE #
PARENTS OF STUDENTS UNDER 18: I hereby authorize any medical treatment for my son / daughter which may be a
advised or recommended by the medical staff of the Student Health Service of the N C A&T State University at Greensboro, NC.
Signature of Parent Guardian Date
PERSONAL HISTORY PLEASE ANSWER ALL QUESTIONS Comment on all positive answers in space below or on additional sheet.
HAVE YOU HAD Yes No HAVE YOU HAD Yes No HAVE YOU HAD Yes No
Eye Trouble Frequent or Severe
Respiratory Infections Kidney or Bladder Dise.
Ear, Nose Throat Trouble Diabetes Frequent or Severe
Headaches Rheumatic Fever or
Heart Murmur Anemia
FEMALE ONLY Epilepsy Stomach or Intestinal Tro. Irregular Periods Asthma, Hay Fever, Hives Infect. Mononucleosis Severe Cramps Tuberculosis Hepatitis or Jaundice Excessive Flow
(GIVE DETAILS IF NEEDED) YES NO Remarks Additional Information
A. Do you have any disease, or is any drug other treatment being
followed, which should be continued or periodally evaluated (Details)
B. Have you any drug allergy or other know sensitivity or intolerance? (Details) C. Have you had any illness, injury, or operation or been hospitalized
other than as already noted? (Explained)
D. Has your physical activity been restricted during the past five years? (Explain) E. Have you ever been hospitalized for mental or emotional illness? (Explain) F. Have you ever interrupted school or work because of mental or
emotional illness or after psychiatric consultation?
STATEMENT BY STUDENT 18 YEARS OF AGE & OLDER: I have
personally supplied the above information, attest that it is true, and
complete to the best of my knowledge. I hereby give my permission to
any doctor, hospital or other medical agency to release confidentially to
the Student Health Service Physician(s) of A&T State University any
information they may have concerning my medical condition and their
professional contact with me. A photocopy of this permission is to be
considered as valid as original.
Signature of Student Date Rev 4/07; 02/12
Have Any of your Relatives Had Any of the Following?
Yes No Relationship Tuberculosis Diabetes Heart Disease Kidney Disease Arthritis Stomach Disease Asthma, Hay Fever Epilepsy, Convulsions
Medical History Form
IMMUNIZATION RECORD
Last Name First Name Middle Name Date of Birth(mo./day/year) Gender Parents Name: Home Address (Please print in black ink) Student to confirm identifying information above is complete before submission. All other information to be completed and
signed by physician or clinic. A complete immunization record from a physician or clinic may be attached to this form.)
SECTION A REQUIRED IMMUNIZATIONS
mo./day/year mo./day/year mo./day/year mo.day/day/year
● DTP, DTaP,TD, or Tdap (#1) (#2) (#3) (#4)
● Tdap Booster (If due update after 7/2008) ● Td Booster ● Polio ● MMR (2 doses after 1st birthday) ● Measles / Rubella (MR) (after first birthday)
● Measles (2 doses after 1st birthday) **Disease Date ****Titer Date& Result
● Mumps **(Disease Date
NOT Accepted) ****Titer Date& Result
● Rubella **(Disease Date
NOT Accepted) ****Titer Date& Result
● Hepatitis B (required if born 7/1/94 or after) (#1)
(#2)
(#3)
International Student Requirements:
● Tuberculin (PPD) Test Date Given
(within 12 months) Date Read
mm in duration
Chest X-ray, if positive PPD Date (Report result in mm induration) Result
Treatment if applicable Date SECTION B RECOMMENDED IMMUNIZATIONS The following immunizations are recommended for all students and may be required by certain colleges of departments
(for example, health sciences). Please consult your college or department materials for specific requirements.
Meningococcal Vaccine: No ( ) Yes ( ) Which vaccine? Menactra ( ) Menomune ( ) Date Given:
mo./day/year mo./day/year mo./day/year
● Hepatitis B series only
● Hepatitis A/B combination series Varicella (chicken pox) series of two doses or
****Titer Date& Result
Disease Date ****Titer Date& Result
● immunity by positive blood titer
SECTION C OPTIONAL IMMUNIZATIONS SECTION D SICKLE CELL
● Haemophilus influenza type b mo./day/year mo./day/year mo./day/year Date Of Test: / /
● Pneumococcal Results: ● Hepatitis A series only Positive / Negative ● Typhoid Trait ● Influenza ● HPV (Gardasil)
● Other
Signature or Clinic Stamp REQUIRED:
*** Laboratory proof of Sickle
Cell testing must be attached
to records***
Signature of Physician/Physician Assistant/Nurse Practitioner Date
Print Name of Physician/Physician Assistant/Nurse Practitioner Area Code/Phone Number
Office Address City State Zip Code ** Must repeat Rubella (measles) vaccine if received even more than 4 days prior to 12 months of age. History of physician-diagnosed
measles disease is acceptable, but must have signed statement from physician.
*** Only laboratory proof of immunity to rubella or mumps is acceptable if the vaccine is not taken. History of rubella or mumps disease, even from a physician, is not acceptable.
**** Lab Report must be submitted. Rev 08/08; 11/10; 1/11
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