ACM Student Life & Leadership Staff Consortial Group Meeting RSVP Form Step 1 of 2 50% The ACM Student Life & Leadership Staff Consortial Group Meeting is planned for Saturday, April 1 at the ACM office building (180 N. Michigan Ave., Chicago, IL 60601). This meeting is for staff who will be traveling to Chicago with students for the ACM Student Leadership Summit. Staff will also be invited to join students for a welcome dinner on Friday and a celebratory dinner on Saturday. Additional details on all events will be shared with you via email. Please complete this RSVP form no later than February 15 to indicate your plans for participating in the upcoming activities.Name(Required) First Last Email(Required) Title(Required) College(Required)Beloit CollegeCarleton CollegeCoe CollegeColorado CollegeCornell CollegeGrinnell CollegeKnox CollegeLake Forest CollegeLawrence UniversityLuther CollegeMacalester CollegeMonmouth CollegeRipon CollegeSt. Olaf CollegePlease confirm the names of the two students you will be accompanying to Chicago for their participation in the ACM Student Leadership Summit.(Required) Add RemoveWill you attend the ACM Student Life & Leadership Staff Consortial Group Meeting on April 1?(Required) I will attend the meeting. I will not attend the meeting. Will you attend the ACM Student Leadership welcome dinner on Friday, March 31?(Required) I will attend the welcome dinner. I will not attend the welcome dinner. Will you attend the ACM Student Leadership Summit celebratory dinner on Saturday, April 1?(Required) I will attend the celebratory dinner. I will not attend the celebratory dinner. Office Phone(Required) Mobile Phone(Required) Pronouns(Required) Please indicate the mode of transportation you and your students will take to Chicago.(Required) Car Plane Train Bus Other Please list any dietary restrictions or food allergies (if applicable). If you have any questions and/or if you are interested in helping facilitate the consortial group meeting, please contact Betsy Hutula (ehutula@acm.edu). Associated Colleges of the Midwest (ACM) Media Release FormThank you for your participation in an ACM-related activity. On occasion, representatives from the ACM may wish to photograph, record video and/or audio, and/or interview those connected with our organization. As a nonprofit educational consortium, our goal is to highlight and showcase the work we are doing via our website, videos, emails, posters, brochures, social media, and other marketing materials. As a participant in an ACM activity, your likeness may be captured in photos, videos, or other mediums during the activity. Photos are typically posted directly to the ACM website and/or social media platforms and may also be used in publications such as brochures, flyers, and annual reports. Video content is typically posted on the ACM YouTube channel and embedded into the ACM website. Video content may or may not include captions or written transcriptions. Please complete the waiver below to confirm whether or not you give ACM your permission to use your name and likeness for the purposes described above. While our goal is to post as much web content as possible related to ACM activities, we also respect your right to privacy. Thank you for your cooperation and support. If you have any questions, please contact acm@acm.edu. I give the Associated Colleges of the Midwest (ACM) irrevocable right to use my name and likeness in any photograph, video, audio recording, or other medium in which I appear and for any lawful purpose, including illustration, promotion, advertising, or web content. I understand that these mediums may be edited, copied, exhibited, published, or distributed, and I waive the right to inspect or approve the finished product, including written material that may be created in connection therewith. I also waive any rights of compensation or ownership thereto. It is understood that my participation in these photographs and recordings is done of my own free will. By signing this form, I acknowledge that I have read and fully understand this release, and agree to be bound thereby. I hereby release ACM from any and all claims or liability arising from, or in connection with, ACM’s use of my likeness in these images or recordings.(Required) a. Yes, I agree to the above statement. b. I agree to the above statement but with the exception of the following (please specify below): c. No, I do not agree to the above statement. If you answered "b" to the question above, please explain your answer here. Full Name(Required) Date(Required) MM slash DD slash YYYY Electronic Signature Agreement(Required) I accept. I do not accept. By selecting the "I accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. Δ
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