Campus Visit Registration Form
If you are coordinating a single-day in-person campus visit for one or a small number of minors (under age 18) for activities such as school visits, shadow days, tours, presentations, or other activities that are not through the Undergraduate Admissions Office or regular recruiting activities for Athletics, please use this form to submit those plans to the Office of Youth Protection and Compliance prior to the day of the visit. You may respond with N/A as necessary.
This form must be completed by an RIT employee, not by a representative from the visiting group.
Sign in to Google to save your progress. Learn more
Your name (individual completing this form) *
Your title/position *
Your email address *
Your phone number *
Name of the college, department, or office hosting the visit *
Title or name of this activity (if any) *
Date of the campus visit *
MM
/
DD
/
YYYY
Start time of the campus visit *
Time
:
End time of the campus visit *
Time
:
Is there an EMS reservation for this visit? *
If yes, please provide the EMS reservation number. (If no, you may respond N/A.) *
Ages or grades of the minor visitor(s) *
Description of the activities that will occur during this campus visit *
Does the activity for minors include any of the following features? (Select all that apply) *
Required
If the visit will include any of the activities above, please describe. (Otherwise, you may respond N/A.) *
Will the minor visitor(s) be chaperoned by a parent, guardian, teacher, or other accompanying adult for the entire visit to campus? (This does not include RIT employees who are facilitating the visit or activities.) *
If the visiting minors will NOT be accompanied by a parent/guardian, chaperone, or teacher for the visit, please describe arrival/dismissal procedures -- where and to whom will the visitor(s) report upon arrival, and where, by whom, and to whom will the visitor(s) be dismissed? (If all minors will be accompanied by a parent or teacher, you may respond N/A.) *
Please provide a list of RIT employees or students who will be facilitating any part of this visit. Please include each individual's name, position/title, email address, and whether each individual may be alone with and supervising the minor(s) at any time. You may also email this list to youth@rit.edu. *
Please provide a copy of the itinerary for the visit (including locations, times). If necessary, you may also email the itinerary to youth@rit.edu. *
Will the visitor(s) be transported by an RIT employee or by the hosting department during the visit (not including self-transport or by a parent/guardian/chaperone)? *
If yes, please provide details about the the type of transportation and supervision during that time. (If RIT is not providing transportation, you may respond N/A.) *
All minors participating in hands-on activities in labs/shops/studios/athletic facilities must submit a signed parental consent and waiver form. (You may access that at https://www.rit.edu/k12/sites/rit.edu.k12/files/Release%20Agreement%20to%20Participate%20-%20Minors%20rev%205-2020.pdf). Will you require any additional consent forms and waivers for this visit? *
Is there anything else specific to this campus visit that is important to know but is not addressed above? If so, please describe.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Rochester Institute of Technology. Report Abuse