Georgia Institute of TechnologyChristina M. Gardner, PhD
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Imagine

FORMS
Please download, complete, and email back these these three forms prior to the first day of the program
Please email forms to cmgardne at cc.gatech.edu
VendorProfileForm.pdf
  • Vendor Profile - This form allows us to provide students with a small transportation and parking stipend. This form must be filled out with the studentís information only.
    • Please have complete the following parts of the Vendor Profile Form.
      • Part A1 -
        • Student's Name
        • Student's Social Security Number
      • Part A3 - Complete the entire section

modelrelease-single.pdf
  • Model Release Ė This form allows us to use the studentís picture and work in marketing of the program and presentations.
    • Parents must sign and print their name as well as the studentís name if the child is under the age of 18.

StudentWaiver.pdf
  • Waiver of Liability Ė This form means that we are not liable for injuries to the student due to their own negligence or incurred from participating in the program. The risk of injury in the program are low.
    • Parents must sign and print their name as well as the studentís name if the child is under the age of 18.
    • Also please initial and date the two lines after reading the statements above them.

Last modified 20 December 2011 at 10:10 pm by cmgardne