CONTACT (Summer 2018) Participant Information
This form provides us with essential information to prepare for your arrival. Please also make sure to read the CONTACT Accepted Participants' Webpage to review vital information regarding visas, Customs and Immigration, health insurance, travel logistics and more: https://graduate.sit.edu/current-students/accepted-students-arrival-page/contact-arrival-information/

* If you have any questions about housing, food, transportation, what to pack, or what to expect during the program, contact cara.silverberg@sit.edu.
* If you have any questions regarding payment or visas, contact maira.tungatarova@sit.edu.
* If you have any questions regarding your health insurance, contact janet.hulnick@sit.edu.

Personal Information
Participant Surname/Family Name *
Your answer
Participant First/Given Name *
Your answer
Name as you would like for it to appear on your official CONTACT Certificate *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Country of Citizenship *
Your answer
Have you secured a visa? *
Have you secured international health insurance? See the CONTACT Arrival Webpage for requirements: https://graduate.sit.edu/current-students/accepted-students-arrival-page/contact-arrival-information/.
Email address *
Your answer
Gender
Your answer
Emergency Contact - Name, Phone Number, Email address, Relationship to you *
Your answer
How did you hear about CONTACT? *
Lodging & Food
CONTACT 2018 Room & Board Fees
Please indicate which weeks you will be attending the program. Saturday morning check out time is 10:00 a.m. *
Please indicate if you will be staying on or off campus. (See cost table above.) *
Please indicate any preferences or access needs regarding your lodging, such as wheelchair access, refrigeration for medications, gender-specific lodging (i.e. women only), etc.
Your answer
Will you be eating meals served by our on-campus dining staff? (Participants have the option to pay for a meal plan - see cost table above - whether or not they stay on campus.) *
Do you have any food allergies? If so, please specify what you are allergic to and how severe your allergy is.
Your answer
Do you have any non-allergy related dietary needs such as halal, kosher or vegetarian food?
Your answer
Post-sundown and pre-sunrise meals will be served during Ramadan. Will you be fasting in observance of Ramadan and eating these meals?
Learning & Access Needs
Do you have experience or wisdom about any of the following topics?
If you checked off one or more of the above topics, please tell us more about your experience and/or what you might like to share during CONTACT.
Your answer
Do you have any religious or spiritual needs? Shuttles may be available on weekends to bring participants to nearby houses of worship. Additionally, the Whitney Center for Spirituality on campus is a quiet space for prayer; meditation cushions and prayer books are available for your daily use.
Your answer
Is there additional information that would help the CONTACT staff to make our learning community accessible and supportive to you? This might include physical and/or intellectual access needs, recent events in your life that may impact your full participation during the program, or anything else you would like for us to know.
Your answer
Transportation
CONTACT staff provide local transportation ONLY on June 3 and June 23, and ONLY from certain locations.

PLEASE REVIEW ALL TRAVEL INFORMATION BEFORE COMPLETING THIS SECTION at https://graduate.sit.edu/current-students/accepted-students-arrival-page/contact-arrival-information/.

ARRIVAL DAY: Sunday, June 3rd
How are you traveling to Brattleboro, Vermont? *
Do you require transportation between the Dartmouth Coach bus station and SIT on Sunday, June 3? *
Please provide INBOUND flight, train, or bus company:
Your answer
INBOUND flight, train, or bus date:
Your answer
Please provide INBOUND flight, train, or bus number:
Your answer
INBOUND flight, train, or bus departure city:
Your answer
INBOUND flight, train, or bus arrival city:
Your answer
INBOUND flight, train, or bus arrival time:
Time
:
DEPARTURE DAY
What day are you departing? CONTACT only provides transportation on Saturday, June 23. *
How are you departing? *
Do you require transportation between SIT and the Dartmouth Coach bus station on Saturday, June 23? *
Please provide OUTBOUND airline, bus, or train company:
Your answer
Please provide OUTBOUND airline, bus, or train number:
Your answer
OUTBOUND flight, bus, or train departure city:
Your answer
OUTBOUND flight, bus, or train arrival city:
Your answer
OUTBOUND flight, bus, or train departure time:
Time
:
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