NEACURH 2015
Conference Delegate Application
Please submit all applications by no later than Wednesday, September 15th, 2015 at 11:59 PM.
The applications can be submitted via email to .
Sign up for an interview time online at the following link:
https://docs.google.com/document/d/18l_BtTz7zJkv6TFLxGzoR1BESgfGzT-y-cF4FwnU4wA/edit?usp=sharing
If you have any questions, feel free to email the NCCs at .
Applicants will be notified by Friday, September 25th by 6PM if they have been selected.
Down the chocolate river
Name:
Hall and Room:
Phone Number:
Birthdate:
E-mail address:
Class Year:
T-Shirt size:
Oompa loompa doompa-de-doop!
Please thoughtfully respond to the following questions:
1. Why do you want to go to NEACURH?
2. How will going to the NEACURH benefit you?
3. How will you take the skills that you have learned and relate them to the SUNY New Paltz campus?
4. How can you represent the theme “Marty and the Chocolate Factory” in clothespins, a banner, T-Shirts, and a display? Don’t be afraid to get creative and use lots of detail in your response!
Into the glass elevator
A huge part of conferences is programming!
As a delegate, you would attend many programs. If you would like to, describe in approximately 100 words a program that you would like to put on as a representative of SUNY New Paltz at NEACURH 2015.
Be sure to include the following:
Name of Program
Necessary materials and helpers
A brief description of the program and its goals
*Keep in mind that many people may attend this program and that we need to transport all materials to SUNY Geneseo in Geneseo, NY.
The snozzberries taste like snozzberries!
Please fill out the following information as it is necessary for delegate registration. This information will be kept confidential.
Dietary Preferences:
____Vegetarian ____Vegan ____Gluten Free ____Kosher
Do you have any food allergies?
Emergency Contact Information:
Name:
Relation:
Phone number:
Insurance Information:
Provider:
Policy Number:
Phone Number:
Address of company:
Do you have a roommate gender preference?
Do you go by a different name?
Are there any other accommodations you need?
*We must have meetings once a week to prepare for the conference. Please consider this when applying.*