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2013 AOP Summer Orientation Student Data Form

This field is for entering your home telephone number including the area code.
This box is for your cell phone number including the area code.
Mode of Transportation
For our records we need to know how you plan to travel to the AOP Summer Program and return home at the conclusion of the Program. Please check the method that most accurately describes your mode of transportation to and from the AOP Summer Program.
To Geneseo
From Geneseo
Pick up on Sunday, July 7, 2013 @ 9:45 am in New York City, 1 Penn Plaza, West 33rd Street, between 7th and 8th Avenue to Livingston Hall, Geneseo, NY (you should plan to arrive at the departure location by 9:30 AM as bus will leave promptly at 10:00 AM). Return trip: Pick up on Friday, August 2, 2013 @ 3:00 pm from Livingston Hall, Geneseo, NY and drop off in New York City, 1 Penn Plaza, West 33rd Street, between 7th and 8th Avenue.
Please note:
AOP will be providing free bus transportation from NYC to SUNY Geneseo for the 2013 AOP Summer Program on a first-come, first-served basis. Once all seats have been assigned, students needing transportation to/from SUNY Geneseo will need to make arrangements which will allow for their arrival in Rochester, New York by no later than 5:00 PM. Transportation arrangements from Rochester, New York to SUNY Geneseo can be made if you provide the AOP department with the following information by no later than Tuesday, July 2, 2013 by NOON: Mode of Transportation; Arrival Time; Airline and Flight # (if applicable). After this deadline date, students will be responsible for their own transportation from Rochester, New York, to the SUNY Geneseo campus which could cost as much as $85/each way.
Health Insurance
Please provide a copy of your health insurance card by no later than June 14, 2013.
Emergency Contact Information
Supplemental Advising Questionnaire
Check one
Item Questionnaire
Please indicate the extent to which you agree or disagree with each of the following items. Respond to the statements below with your feelings at present or with your expectations of how things will be. Choose the number from the drop down box that corresponds to your answer to the left of each item:
Note
See Tracey, T. J., & Sedlacek, W. E. (1984). Noncognitive variables in predicting academic success by race. Measurement and Evaluation in Guidance, 16, 171-178, for validity and reliability data.