osp session 4: itinerary - Regents Scholar Society at UCLA

OSP SESSION 4: ITINERARY
Regents Scholars’ Society, UCLA
Saturday, April 11 through Monday, April 13, 2015
Note: During OSP, we hope to showcase both the academic and social aspects of life at
UCLA. Our icebreakers and games are all carefully selected; in order to get the full OSP
experience, we highly recommend you arrange your visit to attend your full session from
beginning to end. Prospective Regents scholars should arrange a meeting place and time with
their host prior to arrival.
SATURDAY, April 11, 2015:
9:00am
Chancellor’s Lecture
Pauley Pavilion
Join Chancellor Gene Block as he shares his vision for the campus and talks
about Bruin values, academic excellence, and the promising future of the
next class of UCLA freshmen.
3:00 pm
Regents Scholarship Welcome Reception
Pauley Pavilion Concourse (southeast corner)
The reception is an event exclusively for Regents Scholars and their families,
a chance to hear from distinguished speakers, to participate in a Q&A panel,
and to meet with your personal Regents mentor. It follows the events from
Bruin Day, so be sure to come out! We will have a place to store luggage
during the event if need be.
5:00 pm
Check-in and Icrebreakers
Sproul Lecture Room
We’ll all be meeting at the Sproul Hall lecture room to start getting to know
one another. Prospective Regents Scholars should have already arranged with
their respective hosts when and where to meet upon arrival and to put away
luggage.
6:00 pm
Dinner at De Neve
Enjoy an intimate dinner with all of your new friends!
7:00 pm
Icebreakers
De Neve Plaza
What better way to get to know each other than a round of icebreakers? We
promise we have some you’ve never seen!
*Please wear walking shoes to this event
8:30 pm
Diddy Riese Adventure*
Come and try out Diddy Riese cookies and ice cream, one of the many
attractions that makes Westwood UCLA’s college town. We’ll also take a
stroll past some of Westwood’s most memorable locales.
10:00 pm
Bedtime or Game Time
De Neve Plaza
Hang out with your host, relax, or join us in a wide variety of traditional, latenight OSP games. Indoor games will be happening at Sproul Lecture Room
from 11PM to midnight.
*Please wear walking shoes to this event
SUNDAY, April 12, 2015:
9:00 am
Breakfast
Covel Dining Hall
Gear up for a full day of fun with the delicious breakfast offerings here at
UCLA. The omelettes get rave reviews!
10:00 am
Housing Tour*
Take a quick look into what residential life is like on the Hill.
11:30 am
Lunch at Ackerman
Grab lunch at one of the many dining options in Ackerman Union, from
Panda Express to Rubio’s, Carl’s Jr., and Jamba Juice.
12:30 pm
Q&A Panel
Sycamore Room
We present a panel of current Regents scholars with a wide range of majors
and interests. Ask them any and all questions you may have about life at
UCLA, from classes and extracurriculars to student life and RSS itself!
1:30 pm
Scavenger Hunt*
A fun adventure that will take you all over campus and bring you closer to
your new friends.
3:15 pm
Leave for Santa Monica*
4:00 pm
Exploring Santa Monica*
Santa Monica is famous for its beautiful beach, boardwalk, and promenade.
Come ready to play beach volleyball and to explore the town.
6:45 pm
Dinner*
Third Street Promenade
Enjoy dinner at one of the many dining options in Santa Monica’s popular
hot spot.
*Please bring about $15 for dinner.
7:45 pm
Return to UCLA*
8:30 pm
Night Campus Tour*
Get to know the UCLA campus, from the Sunken Gardens to Pauley
Pavilion to the Sculpture Garden.
10:00 pm
Sardines!*
Royce Quad
Join us at Royce Quad for late night activities or even for a spontaneous
game of sardines around the UCLA campus (if you’ve never played sardines,
we’ll fill that void in your life)!
*Please wear walking shoes to this event
MONDAY, April 13, 2015:
8:00 am
Breakfast at De Neve
Start your day off right with a delicious breakfast featuring made-to-order
omelettes, pancakes, waffles, and all the cereal and pastries your heart desires.
9:00 am
Class Shadowing*
Feel free to tag along with your host or any other current RSSer and sit in on
some of the many amazing classes that UCLA has to offer. If you want a
break, stop by the base of Janss Steps where fellow scholars will be hanging
out and playing games.
1:00 pm
Lunch at Bruin Plate
Bruin Plate is a favorite among students for its healthy and tasty menu
selections.
2:00 pm
Good-byes
All things must come to an end, and now it’s time to say good-bye. We hope
you enjoyed your time here at UCLA, and look forward to seeing you in the
fall. Go Bruins!!
Waiver Information: University policy requires the submission of the attached documents.
Be sure to complete the Participant Waiver, Emergency Info Form, Media Release, and
Code of Conduct. You can submit these by printing, signing, and emailing a scan to
outreach@rssla.org. Any questions or concerns about these forms can be directed to the
same email. In-person submission the day of arrival is also possible, but if the forms are
misplaced on the way to UCLA, we will unfortunately be unable to allow you to be a part of
OSP. Those of you under 18 at the time of OSP also must have parent/guardian signatures.
Again, university policy prevents anyone that is missing forms from participating in OSP.
Please don’t forget them!!!
*Please wear walking shoes to this event
UNIVERSITY OF CALIFORNIA LOS ANGELES
Waiver of Liability, Assumption of Risk, and Indemnity Agreement Waiver
Participant's Name (please print): _______________________________________________
Waiver of Liability, Assumption of Risk, and Indemnity Agreement
In consideration of being permitted to participate in any way in the Overnight Stay Program on April 9-11, 2015 or
April 11-13, 2015 hereinafter called "The Activity", I, for myself, my heirs, personal representatives, or assigns, do
hereby release, waive, discharge, and covenant not to sue The Regents of the University of California, its officers,
employees, and agents, and the UCLA Regents Scholar Society and its agents, from liability from any and all claims
including the negligence of The Regents of the University of California, its officers, employees and agents, and
the UCLA Regents Scholar Society and its agents, resulting in personal injury, accidents or illnesses (including
death), and property loss arising from, but not limited to, participation in The Activity, and the use of facilities,
premises or equipment..
_________________________________________
Signature of Parent/Guardian of Minor
Date
____________________________________________
Signature of Participant
Date
Assumption of Risks: Participation in The Activity carries with it certain inherent risks that cannot be eliminated
regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range
from 1) minor injuries such as scratches, bruises, and sprains 2) major injuries such as eye injury or loss of sight, joint
or back injuries, heart attacks, and concussions to 3) catastrophic injuries including paralysis and death.
I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are
inherent in The Activity. I hereby assert that my participation is voluntary and that I knowingly assume all
such risks.
Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD The Regents of the University of
California and the Regents Scholar Society HARMLESS from any and all claims, actions, suits, procedures, costs,
expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement in The Activity and
to reimburse them for any such expenses incurred.
Severability: The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement
is intended to be as broad and inclusive as is permitted by the laws of the State of California and that if any portion
thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk, and indemnity
agreement and fully understand the terms. I understand that I am giving up substantial rights, including my
right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be
a complete and unconditional release of all liability to the greatest extent allowed by law.
I am an adult, 18 years or older, and I have read and understand this agreement and I freely and knowingly give my
consent to The Regents of the University of California as described herein.
________________________________________
Signature of Parent/Guardian of Minor
Date
Participant's Age (if minor) _______
____________________________________________
Signature of Participant
Date
EMERGENCY INFORMATION & TREATMENT CONSENT FORM
I.
Participant Information
Name_______________________________________________________________________________Age_________
Address________________________________________________________________________________________________
City________________________________________________________ State _______________ Zip _______________
Phone___________________________________________________ Email________________________________________
II. Family Information (if participant is a minor)
Parent/guardian (First/Last/MI) _________________________________________ Home Phone _______________Cell Phone____________
Address_______________________________________________________Employer ______________________________
Work Phone ________________________Work Address_______________________________________________________
Parent/guardian (First/Last/MI) ________________________________________ Home Phone ___________ Cell Phone______________
Address_____________________________________________________Employer _____________________________________
Work Phone ________________________Work Address_________________________________________________________
Parent E-mail ____________________________________
III. Health Information
Participant’s Physician________________________________________________________Phone________________________
Address _____________________________________________Insurance Co.________________________________________
Employer group #____________________ Policy Holder Name _____________________________________Member #___________
Please advise us of any learning disabilities, emotional or physical conditions to assist us in providing the best experience for the participant.
Medications that the participant may need:
Medication allergies - Describe reaction and management of the reaction:
Food and Other allergies - include insect stings, hay fever, asthma, animal dander, etc. – Describe reaction and management of reaction:
IMPORTANT: PLEASE READ AND SIGN BELOW. If the participant is a minor, a parent or guardian must
read and sign below.
Informed Consent for Emergency Treatment: In the case of an emergency and if I can not be reached, I authorize the staff of
UCLA to obtain whatever medical treatment they%deem necessary for the welfare of my child. I further understand and agree that I
will be financially responsible for all charges and fees incurred in the rendering of said emergency treatment regardless of whether or
not my medical insurance would cover such charges and fees.%This consent will remain in force for duration of the program.
Participant Name (print): _________________________________________
Signature: _______________________________________________ Date: _________
I am the parent or legal guardian of the minor_________________________________________, and I am signing on behalf of said
minor.
Name of Participant
Parent/Guardian (print): ___________________________________________
Signature of Parent/guardian_________________________________ Date__________
Student Initiated Yield Weekend 2015 - Code of Conduct
The purpose of the Student Initiated Yield Weekend 2015 is to give students admitted to UCLA the
opportunity to immerse themselves in the university setting. This Code of Conduct is important for establishing
a common level of expectation for program hosts and admitted students so that all are supported in reaching
their highest potential. Just as the program coordinators have established high expectations of their staff and
volunteers, equally high expectations exist for all admitted students. The following is a statement of minimum
expectations regarding the conduct of those participating in the Student Initiated Yield Weekend 2015:
1. Student will show exemplary respect for all private and public property to assure that nothing is done to
cause damage. It is understood that should any damage occur, that person(s) responsible will be held
accountable for damages incurred.
2. Students will refrain from behavior which could lead to physical or emotional harm to others.
3. Students will follow carefully the directions of their program coordinators and will not take exception to
the order of procedure of an event.
4. Students will show respect for peers, UCLA students, volunteers, staff, and faculty throughout the entire
program. Discrimination on the basis of sex, race, color, creed, religion, national origin, sexual
orientation or disabilities will not be tolerated. Accordingly, students will refrain from libel, slanderous
remarks, and obscenity in verbal and written expression.
5. Students will be supervised by their hosts and volunteers during their stay in the volunteer host’s place
of lodging and by program coordinators, staff, and volunteers during their participation in the Student
Initiated Yield Weekend 2015.
6. Students will respect the comfort of other guests in the program as well as other residents and neighbors
in the volunteers-host’s place of lodging by refraining from being noisy after 12:00 AM.
7. Students, members, volunteers, and guests will refrain from drinking any alcoholic beverages or using
recreational drugs, including tobacco in individual rooms or in public. Those found violating the Code
of Conduct in relation to alcoholic beverages, drugs, and/or tobacco will be dismissed from the
program and may be referred to the Dean of Students.
8. Students will dress in a manner that meets reasonable standards of respect, health, and safety at all
scheduled weekend events.
9. Students must not leave their program’s schedule events for any reason. In case of an emergency,
students must immediately communicate with their assigned program coordinator to make the
appropriate arrangements.
10. Students will be punctual and present at all scheduled weekend events associated with their program.
Students, parents, volunteers and other participants of the Student Initiated Yield Weekend are all
expected to support this Code of Conduct. Violations of this code can threaten the security of a student’s
admission offer and will have serious consequences for current UCLA students involved in the violation.
In the event that a student does not comply with this Code of Conduct, program coordinators will immediately
communicate with the UCLA Dean of Students Office to establish appropriate action. The signatures that
follow affirm support for this Code of Conduct during Student Initiated Yield Weekend 2015.
Student:
__________________________________________________________________________________________
Print Name
Sign
Date
If you will be under 18 on April 17, 2015, please have a parent/guardian sign below:
__________________________________________________________________________________________
Print Name
Sign
Date
University of California, Los Angeles
MULTIMEDIA RELEASE FORM
Permission for Use of Name, Image and Statements
I hereby grant to The Regents of the University of California permission to reproduce my name,
likeness, identity, voice, photographic image, videographic image and oral or recorded
statements in any publication of The Regents of the University of California intended for
research, educational, promotional, fund-raising or other related use, including but not limited to,
film broadcast, printed publications, webpages and web-based publications, associated with
UCLA.
By signing this form, I waive and release The Regents of the University of California and its
officers, agents and employees, from any claim or liability relating to the use of my name,
likeness, identity, voice, photographic image, videographic image and oral or recorded
statements.
I acknowledge that The Regents of the University of California will rely on this permission and
release in producing, broadcasting, and distributing materials containing my name, likeness,
identity, voice, photographic image, videographic image or oral or recorded statements, and that
I will receive no money or remuneration of any kind from The Regents of the University of
California related to this permission and release or the materials covered by this permission and
release.
Acknowledgment of Understanding:
I have read the above “Permission for Use of Name, Image and Statements” and I fully
understand the terms. I understand that I am giving up substantial rights, including my right to
sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my
signature to be a complete and unconditional release of all liability to the greatest extent allowed
by law.
I am an adult, 18 years or older, and I have read and understand this agreement and I freely and
knowingly give my consent to The Regents of the University of California as described herein.
Participant Name (print): _________________________________________
Signature: _______________________________________________ Date: _______
IMPORTANT: IF THE PARTICIPANT IS UNDER 18 YEARS OF AGE, A PARENT OR
GUARDIAN SIGNATURE IS REQUIRED:
Parent/Guardian Name: _____________________________________
Parent/Guardian Signature: __________________________________ Date: _______
Participant's Age (if minor) ______________
NW CAMPUS
AUDITORIUM
SPROUL
COVE
CARNESALE
COMMONS
LAND
ING
SPROUL
HOLLY
GARDENIA
OSTIN
MUSIC
CENTER
COURT OF
SCIENCES
STUDENT
CENTER
WASSERMAN
WEYBURN
GRADUATE
STUDENT
HOUSING
September 2014
September 2014