EngFrosh ’01: Frosh Application Form

 

Mail:

Engfrosh ’01, co/CSES

 

URL:

http://www.engfrosh.com

 

Carleton University

 

E-mail:

info@engfrosh.com

 

1125 Colonel By Dr.

 

Phone:

(613) 520-5584

 

Ottawa, ON, Canada

 

Fax:

(613) 520-6699

 

K1S 5B6

 

 

 

 

Personal information

Full Name:

 

Home Phone #:

(         )

Emergency Contact:

 

Emergency Phone #:

(         )

Age:

(as of Sept 2, 2001)

 

 

Gender:   

 Male

 

 Female

(if you are 19 or older, as of Sept. 2, 2001, please include a photocopy of you valid picture ID with this form)

 

Home Email:

 

 

 

Home Address:

 

 

I will be living (during frosh week):

(include postal code)

 

 

  In Carleton University Residence

 

 

  Off Campus (an apartment/room)

 

 

 

  At Home (with parents in Ottawa)

 

 

 

 

Program:

(ie. Eng, arch)

 

 

Stream:

(ie. Mech, civil)

 

 

Medical Information

I have the following food/drink allergies:                 __________________________________________________

I have the following substance allergies:                 __________________________________________________

I require special medication(s), food(s):                   __________________________________________________

I require special arrangements (disabilities):           __________________________________________________

 

Local Information

How familiar are you with Ottawa:                               live here                     visited a couple of times                    where’s Ottawa?

How many Frosh will you know:                                 entire HS                    couple of people                                  no one at all

How many Facils do you know:                                  entire group               couple of people                                  no one at all

 

Package information

þ

I wish to participate in all eight days of Engfrosh ’01!!!

 

 

$80.00

t

NOTE:

EngFrosh fee increases to $100 after August 15th Reply Now!

I wish to go white water rafting

 

$45.00

_____

I would like an Engineering Equipment Kit

 

$45.00

_____

I am in residence and wish to participate in

Rideau River Residence Association activities

 

$10.00

_____

 

(all costs are based on a cost-recovery strategy)

 

TOTAL

_______

 

Please return this form in the provided pre-addressed envelope, or by mail to the EngFrosh ’01 address shown above.  Please include a cheque or money order for the TOTAL amount.  Make all cheques payable to “CSES EngFrosh ‘01”.  Payment guarantees placement in the program - there are no additional charges.  Please respond ASAP (deadline: August 15th, 2001). If you’ve missed this deadline, but still wish to attend EngFrosh ’01, please contact the Organizing Committee immediately. 

 

No Frosh were harmed in the making of this Application Form.

 

For more information visit - http://www.engfrosh.com

info@engfrosh.com