Oregon Higher Education Sustainability Conference

Application Packet

February 3rd-5th

Lane Community College, Eugene. All expenses paid.

Applications must be turned in to
Student Programs C212 by
Monday, January 18th2016 by 5pm

For Official Use Only
____Application Complete ____Under 18
____Proof of Insurance ____Food Allergies
____GPA____Medical Restrictions / (Date Stamp)

What is the OHESC?

The 2016 Oregon Higher Education Sustainability Conference (OHESC) will explore ways to advance campus sustainability through the sharing of best practices, presentation of cutting edge examples of creative solutions to common challenges, and the development of regional collaborative networks. Attendees will gain new ideas, analyze sustainability management programs, build relationships, share transferable lessons with peers, and endeavor to form a more united coalition to support key statewide sustainability approaches, goals and policy initiatives.

If this sounds like it’s your kind of conference, please apply and we will pay for your registration fee, transportation, and hotel room if you are accepted. Space is limited so turn in your application form as soon as possible.

For more information about the conference please visit:

Application Process

Please complete this application if you are interested in attending OHESC!

Application Materials and Requirements:

  • This completed application form;

Submit to Student Programs Front Desk (C212) by Monday, January 18th, 2016 at 5pm.

Must attend one pre-departure orientation: (please check one)

[ ]Tuesday, January 28th from 2:30-3:20 pm in C-211

[ ]Friday, January 31st from 10:30-11:20 pm in C-211

Requirements for Attending the OHESC:

  • Minimum GPA of 2.7.
  • Must be able to attend all days of the conference. We will be leaving on Feb 3 in the afternoon and returning Feb 5 in the afternoon/early evening.
  • Must travel with the BC delegation.
  • Must abide by the rules of OHESC as well as the college.
  • Must be a current registered student at Bellevue College.
  • Must return to Bellevue College to present lessons learned from the conference to other students. This could be through an event, lecture, or presentation during Earth Week (April 18-27).

Questions? Contact:

Amber Nicholson. . (425) 564-2720

Application for Oregon Higher Education Sustainability Conference (OHESC)

PLEASE PRINT

Last name: First Name: Nickname: ______

Student ID#: Email: Phone:

Sex: [ ] Male [ ] Female Other:______Preferred Gender Pronoun______

Date of Birth: ___/____/____

Emergency Contact: Phone: ______

Dietary restrictions: (e.g. no pork, no dairy, vegetarian, etc.) People who specify vegetarian will receive a stamp on their badge to receive the vegetarian option: ______

Allergies, health, or medical conditions that would restrict your participation in the OHESC activities: ______

If you require accommodations for a disability to participate in OHESC, please contact:

Amber Nicholson at 425 564-2720 or email:

How long have you attended Bellevue College?

Have you been or are you currently affiliated with a Bellevue College club? [ ] No [ ] Yes

If Yes, Club: ______Your position: ______

1. Please describe how you are/ have been involved on campus.

______

2. Why are you interested in attending the Oregon Higher Education Sustainability Conference?

3. PERSONAL STATEMENT

In the space provided below, please discuss:

a)How will you apply what you have learned from attending the OHESC to Bellevue College and promote sustainable best practices in your own life?

4. List any Volunteer experience or participation in school- related activities (Music, Art, Clubs, School paper, etc.) you have or any projects you have contributed to (e.g. government agencies, community groups, religious organizations or political campaigns). Please attach extra pages if necessary.

Name of Organization Your Role Dates

I understand that if I do get accepted to attend OHESC and I need to cancel, I must notify Student Programs in writing by January 27th. A cancellation fee of $40 is required after this date, UNLESS a doctor’s note has been provided to Student Programs.

______

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