{"id":18077,"date":"2019-11-07T11:46:35","date_gmt":"2019-11-07T16:46:35","guid":{"rendered":"https:\/\/its-cuthemedev1.carleton.ca\/engineering-design\/?page_id=18077"},"modified":"2025-03-26T13:41:56","modified_gmt":"2025-03-26T17:41:56","slug":"student-for-a-day-application","status":"publish","type":"page","link":"https:\/\/carleton.ca\/engineering-design\/student-for-a-day-application\/","title":{"rendered":"Student for a Day Application"},"content":{"rendered":"\n<section class=\"w-screen px-6 cu-section cu-section--white ml-offset-center md:px-8 lg:px-14\">\n    <div class=\"space-y-6 cu-max-w-child-max  md:space-y-10 cu-prose-first-last\">\n\n        \n                    \n                    \n            \n    <div class=\"cu-wideimage relative flex items-center justify-center mx-auto px-8 overflow-hidden md:px-16 rounded-xl not-prose  my-6 md:my-12 first:mt-0 bg-opacity-50 bg-cover bg-cu-black-50 py-24 md:py-28 lg:py-36 xl:py-48\" style=\"background-image: url(https:\/\/carleton.ca\/engineering-design\/wp-content\/uploads\/sites\/63\/IMG_3607.jpg); background-position: 50% 50%;\">\n\n                    <div class=\"absolute top-0 w-full h-screen\" style=\"background-color:rgba(0,0,0,0.600);\"><\/div>\n        \n        <div class=\"relative z-[2] max-w-4xl w-full flex flex-col items-center gap-2 cu-wideimage-image cu-zero-first-last\">\n            <header class=\"mx-auto mb-6 text-center text-white cu-pageheader cu-component-updated cu-pageheader--center md:mb-12\">\n\n                                    <h1 class=\"cu-prose-first-last font-semibold mb-2 text-3xl md:text-4xl lg:text-5xl lg:leading-[3.5rem] cu-pageheader--center text-center mx-auto after:left-px\">\n                        Student for a Day Application\n                    <\/h1>\n                \n                            <\/header>\n        <\/div>\n\n            <\/div>\n\n    \n\n    <\/div>\n<\/section>\n\n\n\n<p><script type=\"text\/javascript\"><br \/>\n\/* 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registration form and embedded consent waivers in their entirety. The Student For a Day program runs from September-November and January-March, and is individually tailored to your availability.<\/p>\n                        <\/div><form class='not-prose' method='post' enctype='multipart\/form-data'  id='gform_122'  action='\/engineering-design\/wp-json\/wp\/v2\/pages\/18077' data-formid='122' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_122' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_122_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_122_1'>\n                            \n                            <span id='input_122_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_122_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_122_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_122_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_122_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_122_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_122_3\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_3'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_122_3' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_122_19\" class=\"gfield gfield--type-date gfield--input-type-datefield gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_122_19' class='ginput_container ginput_complex gform-grid-row'>\n                                        <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_122_19_2_container'>\n                                            <input type='number' maxlength='2' name='input_19[]' id='input_122_19_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_122_19_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_122_19_1_container'>\n                                        <input type='number' maxlength='2' name='input_19[]' id='input_122_19_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_122_19_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                   <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_122_19_3_container'>\n                                        <input type='number' maxlength='4' name='input_19[]' id='input_122_19_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_122_19_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                                <\/div><\/fieldset><fieldset id=\"field_122_2\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Home Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_122_2' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_122_2_1_container' >\n                                        <input type='text' name='input_2.1' id='input_122_2_1' value=''    aria-required='true'    \/>\n                                        <label for='input_122_2_1' id='input_122_2_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_122_2_2_container' >\n                                        <input type='text' name='input_2.2' id='input_122_2_2' value=''     aria-required='false'   \/>\n                                        <label for='input_122_2_2' id='input_122_2_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_122_2_3_container' >\n                                    <input type='text' name='input_2.3' id='input_122_2_3' value=''    aria-required='true'    \/>\n                                    <label for='input_122_2_3' id='input_122_2_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_122_2_4_container' >\n                                        <select name='input_2.4' id='input_122_2_4'     aria-required='true'    ><option value='' ><\/option><option value='Alberta' >Alberta<\/option><option value='British Columbia' >British Columbia<\/option><option value='Manitoba' >Manitoba<\/option><option value='New Brunswick' >New Brunswick<\/option><option value='Newfoundland and Labrador' >Newfoundland and Labrador<\/option><option value='Northwest Territories' >Northwest Territories<\/option><option value='Nova Scotia' >Nova Scotia<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' selected='selected'>Ontario<\/option><option value='Prince Edward Island' >Prince Edward Island<\/option><option value='Quebec' >Quebec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select>\n                                        <label for='input_122_2_4' id='input_122_2_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_122_2_5_container' >\n                                    <input type='text' name='input_2.5' id='input_122_2_5' value=''    aria-required='true'    \/>\n                                    <label for='input_122_2_5' id='input_122_2_5_label' class='gform-field-label gform-field-label--type-sub '>Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_2.6' id='input_122_2_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_122_4\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_4'>Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_122_4' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_122_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you have any allergies or dietary restrictions?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_122_29'>This program includes a free lunch in our Residence Cafeteria, who can accommodate for most allergies and dietary needs\/restrictions.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_29'>\n\t\t\t<div class='gchoice gchoice_122_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Yes'  id='choice_122_29_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_29\"   \/>\n\t\t\t\t\t<label for='choice_122_29_0' id='label_122_29_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='No'  id='choice_122_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_29_1' id='label_122_29_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_122_30\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_30'>Please list allergies and\/or dietary restrictions<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_30' id='input_122_30' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_122_31\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you have mobility and\/or other special physical requirements?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_31'>\n\t\t\t<div class='gchoice gchoice_122_31_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='Yes'  id='choice_122_31_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_31_0' id='label_122_31_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_31_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_31' type='radio' value='No'  id='choice_122_31_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_31_1' id='label_122_31_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_122_32\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_32'>Please provide details on your mobility and\/or other special physical requirements<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_32' id='input_122_32' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_122_33\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Academic Information<\/h3><\/div><fieldset id=\"field_122_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you currently enrolled in High School?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_7'>\n\t\t\t<div class='gchoice gchoice_122_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Yes'  id='choice_122_7_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_7_0' id='label_122_7_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='No'  id='choice_122_7_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_7_1' id='label_122_7_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_122_5\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_5'>High School<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_122_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_122_6\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_6'>Current Grade<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_122_6' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><\/div><div id=\"field_122_8\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_8'>Please Specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_122_8'>Example: enrolled at ___ University\/College, taking a gap year, working full-time etc.<\/div><div class='ginput_container ginput_container_text'><input name='input_8' id='input_122_8' type='text' value='' class='medium'  aria-describedby=\"gfield_description_122_8\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_122_9\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_9'>Expected year\/term entry to University<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_122_9'>Example: Fall 2020, Winter 2021 etc.<\/div><div class='ginput_container ginput_container_text'><input name='input_9' id='input_122_9' type='text' value='' class='medium'  aria-describedby=\"gfield_description_122_9\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_122_10\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_10'>Estimated Academic Average<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_122_10' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_122_16\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Program Preferences<\/h3><div class='gsection_description' id='gfield_description_122_16'>Please rank your program choices from 1-3 below, 1 being your first preference.<\/div><\/div><div id=\"field_122_14\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_14'>First Choice<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_122_14' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Aerospace Engineering' >Aerospace Engineering<\/option><option value='Architectural Conservation and Sustainability Engineering' >Architectural Conservation and Sustainability Engineering<\/option><option value='Architecture (School of Architecture)' >Architecture (School of Architecture)<\/option><option value='Biomedical Mechanical Engineering' >Biomedical Mechanical Engineering<\/option><option value='Biomedical Electrical Engineering' >Biomedical Electrical Engineering<\/option><option value='Civil Engineering' >Civil Engineering<\/option><option value='Computer Systems, Software &amp; Communications Engineering' >Computer Systems, Software &amp; Communications Engineering<\/option><option value='Electrical, Engineering Physics' >Electrical, Engineering Physics<\/option><option value='Environmental Engineering' >Environmental Engineering<\/option><option value='Industrial Design' >Industrial Design<\/option><option value='Mechanical Engineering' >Mechanical Engineering<\/option><option value='Sustainability &amp; Renewable Energy Engineering' >Sustainability &amp; Renewable Energy Engineering<\/option><option value='Information Technology' >Information Technology<\/option><\/select><\/div><\/div><div id=\"field_122_17\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_17'>Second Choice<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_122_17' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Aerospace Engineering' >Aerospace Engineering<\/option><option value='Architectural Conservation and Sustainability Engineering' >Architectural Conservation and Sustainability Engineering<\/option><option value='Architecture (School of Architecture)' >Architecture (School of Architecture)<\/option><option value='Biomedical Mechanical Engineering' >Biomedical Mechanical Engineering<\/option><option value='Biomedical Electrical Engineering' >Biomedical Electrical Engineering<\/option><option value='Civil Engineering' >Civil Engineering<\/option><option value='Computer Systems, Software &amp; Communications Engineering' >Computer Systems, Software &amp; Communications Engineering<\/option><option value='Electrical, Engineering Physics' >Electrical, Engineering Physics<\/option><option value='Environmental Engineering' >Environmental Engineering<\/option><option value='Industrial Design' >Industrial Design<\/option><option value='Mechanical Engineering' >Mechanical Engineering<\/option><option value='Sustainability &amp; Renewable Energy Engineering' >Sustainability &amp; Renewable Energy Engineering<\/option><option value='Information Technology' >Information Technology<\/option><\/select><\/div><\/div><div id=\"field_122_18\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_18'>Third Choice<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_122_18' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Aerospace Engineering' >Aerospace Engineering<\/option><option value='Architectural Conservation and Sustainability Engineering' >Architectural Conservation and Sustainability Engineering<\/option><option value='Architecture (School of Architecture)' >Architecture (School of Architecture)<\/option><option value='Biomedical Mechanical Engineering' >Biomedical Mechanical Engineering<\/option><option value='Biomedical Electrical Engineering' >Biomedical Electrical Engineering<\/option><option value='Civil Engineering' >Civil Engineering<\/option><option value='Computer Systems, Software &amp; Communications Engineering' >Computer Systems, Software &amp; Communications Engineering<\/option><option value='Electrical, Engineering Physics' >Electrical, Engineering Physics<\/option><option value='Environmental Engineering' >Environmental Engineering<\/option><option value='Industrial Design' >Industrial Design<\/option><option value='Mechanical Engineering' >Mechanical Engineering<\/option><option value='Sustainability &amp; Renewable Energy Engineering' >Sustainability &amp; Renewable Energy Engineering<\/option><option value='Information Technology' >Information Technology<\/option><\/select><\/div><\/div><div id=\"field_122_20\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Availability<\/h3><div class='gsection_description' id='gfield_description_122_20'>A typical university day could include scheduled coursework between the hours of 8:30am and 5:30pm. <\/div><\/div><fieldset id=\"field_122_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you know the exact date(s) and time(s) you would like to request?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_122_22'>Are you requesting specific date(s) and time(s), or would like us to let you know our availability based on days\/times provided?<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_22'>\n\t\t\t<div class='gchoice gchoice_122_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='Yes, I know the exact date(s)'  id='choice_122_22_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_22\"   \/>\n\t\t\t\t\t<label for='choice_122_22_0' id='label_122_22_0' class='gform-field-label gform-field-label--type-inline'>Yes, I know the exact date(s)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='No, will provide availability instead'  id='choice_122_22_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_22_1' id='label_122_22_1' class='gform-field-label gform-field-label--type-inline'>No, will provide availability instead<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_122_23\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_23'>Preferred Date 1<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_122_23'>Program offered Monday-Friday<\/div><div class='ginput_container ginput_container_date'>\n                            <input name='input_23' id='input_122_23' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_122_23_date_format gfield_description_122_23\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_122_23_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_122_23' class='gform_hidden' value='https:\/\/carleton.ca\/engineering-design\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_122_24\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_24'>Preferred Date 2<\/label><div class='gfield_description' id='gfield_description_122_24'>Program offered Monday-Friday<\/div><div class='ginput_container ginput_container_date'>\n                            <input name='input_24' id='input_122_24' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_122_24_date_format gfield_description_122_24\" aria-invalid=\"false\" \/>\n                            <span id='input_122_24_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_122_24' class='gform_hidden' value='https:\/\/carleton.ca\/engineering-design\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_122_25\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_25'>Preferred Date 3<\/label><div class='gfield_description' id='gfield_description_122_25'>Program offered Monday-Friday<\/div><div class='ginput_container ginput_container_date'>\n                            <input name='input_25' id='input_122_25' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_122_25_date_format gfield_description_122_25\" aria-invalid=\"false\" \/>\n                            <span id='input_122_25_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_122_25' class='gform_hidden' value='https:\/\/carleton.ca\/engineering-design\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_122_36\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How soon would you like to attend this program?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_36'>\n\t\t\t<div class='gchoice gchoice_122_36_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Within the next 2 weeks'  id='choice_122_36_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_36_0' id='label_122_36_0' class='gform-field-label gform-field-label--type-inline'>Within the next 2 weeks<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_36_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='Within the next month'  id='choice_122_36_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_36_1' id='label_122_36_1' class='gform-field-label gform-field-label--type-inline'>Within the next month<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_36_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='This Academic Term (Sept-Dec or Jan-Apr)'  id='choice_122_36_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_36_2' id='label_122_36_2' class='gform-field-label gform-field-label--type-inline'>This Academic Term (Sept-Dec or Jan-Apr)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_36_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='This Academic Year (Sept-Apr)'  id='choice_122_36_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_36_3' id='label_122_36_3' class='gform-field-label gform-field-label--type-inline'>This Academic Year (Sept-Apr)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_122_27\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please select what days of the week you are available<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox gfield_choice--select_all_enabled' id='input_122_27'><div class='gchoice gchoice_122_27_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.1' type='checkbox'  value='Monday'  id='choice_122_27_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_122_27_1' id='label_122_27_1' class='gform-field-label gform-field-label--type-inline'>Monday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_122_27_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.2' type='checkbox'  value='Tuesday'  id='choice_122_27_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_122_27_2' id='label_122_27_2' class='gform-field-label gform-field-label--type-inline'>Tuesday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_122_27_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.3' type='checkbox'  value='Wednesday'  id='choice_122_27_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_122_27_3' id='label_122_27_3' class='gform-field-label gform-field-label--type-inline'>Wednesday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_122_27_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.4' type='checkbox'  value='Thursday'  id='choice_122_27_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_122_27_4' id='label_122_27_4' class='gform-field-label gform-field-label--type-inline'>Thursday<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_122_27_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.5' type='checkbox'  value='Friday'  id='choice_122_27_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_122_27_5' id='label_122_27_5' class='gform-field-label gform-field-label--type-inline'>Friday<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gfield-choice-toggle-all\"><button type=\"button\" id=\"button_27_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Select All\" data-label-deselect=\"Deselect All\">Select All<\/button><\/div><\/div><\/div><\/fieldset><div id=\"field_122_26\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_26'>Do you have any specific date or time restrictions?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_122_26'>Example: only available 9am-12pm, not available Dec 1 etc.<\/div><div class='ginput_container ginput_container_text'><input name='input_26' id='input_122_26' type='text' value='' class='medium'  aria-describedby=\"gfield_description_122_26\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_122_35\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Would you like any of the following to be included in your day?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_122_35'>Select all that you would like to be included in your day.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_122_35'><div class='gchoice gchoice_122_35_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.1' type='checkbox'  value='Meeting with Professor'  id='choice_122_35_1'   aria-describedby=\"gfield_description_122_35\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_122_35_1' id='label_122_35_1' class='gform-field-label gform-field-label--type-inline'>Meeting with Professor<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_122_35_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.2' type='checkbox'  value='Lab Facilities Tour (Engineering &amp; Design labs)'  id='choice_122_35_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_122_35_2' id='label_122_35_2' class='gform-field-label gform-field-label--type-inline'>Lab Facilities Tour (Engineering &#038; Design labs)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_122_35_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.3' type='checkbox'  value='Campus Tour'  id='choice_122_35_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_122_35_3' id='label_122_35_3' class='gform-field-label gform-field-label--type-inline'>Campus Tour<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_122_35_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.4' type='checkbox'  value='None of the above'  id='choice_122_35_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_122_35_4' id='label_122_35_4' class='gform-field-label gform-field-label--type-inline'>None of the above<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_122_50\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_50'>Do you request a student guide of a specific gender?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_122_50' type='text' value='' class='medium' maxlength='50' aria-describedby=\"gfield_description_122_50\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_122_50'>If yes, please indicate the gender of the guide you&#8217;d like to request. Or, indicate &#8220;no preference&#8221;.\n\nAt Carleton University, we recognize and respect the importance of privacy. Personal information that we collect is kept confidential. In accordance with section 41 of the Freedom of Information and Protection of Privacy Act, Carleton University will only use the information in its custody or control in the following circumstances: where the individual identifies the particular information and consents to its use; for the purpose for which it was collected or a consistent purpose (i.e. a purpose which the individual might have reasonably expected). Please read our full Privacy Notice at admissions.carleton.ca\/privacy.<\/div><\/div><fieldset id=\"field_122_37\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >How did you hear about this program?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_122_37'>Please select all that apply<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_122_37'><div class='gchoice gchoice_122_37_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.1' type='checkbox'  value='Carleton Event (SEDS, Fall Open House, March Break Day etc.)'  id='choice_122_37_1'   aria-describedby=\"gfield_description_122_37\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_122_37_1' id='label_122_37_1' class='gform-field-label gform-field-label--type-inline'>Carleton Event (SEDS, Fall Open House, March Break Day etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_122_37_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.2' type='checkbox'  value='Google Search'  id='choice_122_37_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_122_37_2' id='label_122_37_2' class='gform-field-label gform-field-label--type-inline'>Google Search<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_122_37_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.3' type='checkbox'  value='Carleton Website'  id='choice_122_37_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_122_37_3' id='label_122_37_3' class='gform-field-label gform-field-label--type-inline'>Carleton Website<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_122_37_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.4' type='checkbox'  value='Word of Mouth (Friend\/Family etc.)'  id='choice_122_37_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_122_37_4' id='label_122_37_4' class='gform-field-label gform-field-label--type-inline'>Word of Mouth (Friend\/Family etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_122_37_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.5' type='checkbox'  value='High School Visit or Fair'  id='choice_122_37_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_122_37_5' id='label_122_37_5' class='gform-field-label gform-field-label--type-inline'>High School Visit or Fair<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_122_37_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.6' type='checkbox'  value='Email'  id='choice_122_37_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_122_37_6' id='label_122_37_6' class='gform-field-label gform-field-label--type-inline'>Email<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_122_37_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.7' type='checkbox'  value='Phone Call'  id='choice_122_37_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_122_37_7' id='label_122_37_7' class='gform-field-label gform-field-label--type-inline'>Phone Call<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_122_37_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.8' type='checkbox'  value='Other'  id='choice_122_37_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_122_37_8' id='label_122_37_8' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_122_38\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_38'>Other Please Specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_122_38' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_122_39\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Consent Waivers<\/h3><div class='gsection_description' id='gfield_description_122_39'>Please read the following carefully when checking off each section in this waiver of liability and informed consent agreement.<\/div><\/div><fieldset id=\"field_122_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Disclaimer Clause<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_42'>\n\t\t\t<div class='gchoice gchoice_122_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='I consent'  id='choice_122_42_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_42\"   \/>\n\t\t\t\t\t<label for='choice_122_42_0' id='label_122_42_0' class='gform-field-label gform-field-label--type-inline'>I consent<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_122_42'>The Governors of Carleton University AND the Faculty of Engineering &#038; Design, their agents, officials, officers, directors, employees, volunteers, contractors, servants or representatives (hereinafter refer to as \u201cThe University and Faculty of Engineering &#038; Design\u201d) are not responsible for any death, injury, loss or damage of any kind suffered by any person while participating in Carleton Engineering Student for a Day Program (hereinafter refer to as \u201cSFD\u201d) and all related activities of SFD, including injury, loss or damage which might be caused by the negligence of THE UNIVERSITY AND THE SCHOOL.<\/div><\/fieldset><fieldset id=\"field_122_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Description of Risks<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_43'>\n\t\t\t<div class='gchoice gchoice_122_43_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='I consent'  id='choice_122_43_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_43\"   \/>\n\t\t\t\t\t<label for='choice_122_43_0' id='label_122_43_0' class='gform-field-label gform-field-label--type-inline'>I consent<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_122_43'>In consideration of my participation in SFD program and all related activities, I acknowledge that I am aware of the possible RISKS, DANGERS AND HAZARDS associated with SFD program and all related activities including THE POSSIBLE RISK OF SEVERE OR FATAL INJURY TO MYSELF OR OTHERS. These risks include, but are not limited to:\n\n(1) Risks associated with travel to and from all venues of the various components including transport by public or private motor vehicle which could include but are not limited to an accident resulting in severe physical injuries or death;\n(2) Food-related illness resulting from any meal arranged for me by SFD organizers;\n(3) Muscular injuries and soft tissue injuries, broken bones, bruises, scrapes, cuts, sprains, dislocation, head, facial eye and\/or dental injuries which might result from participation in SFD;\n(4) Injuries resulting from falling or being knocked down or steep steps where a fall may cause injury or death;\n(5) Injuries resulting from rough terrain, failure to see an obstacle, failure to negotiate a turn, etc.;\n(6) Injuries resulting from walking on a hill, slipping and\/or falling;\n(7) Injuries resulting from burns or reaction to or from chemicals, solvents or other materials used in the labs\n(8) Injuries resulting from malfunctioning of equipment or misuse of equipment whether owned, designed or operated by myself or the staff of THE UNIVERSITY or the Faculty of Engineering and Design;\n(9) Changes in weather or temperatures which may result in hypothermia, frostbite, windburn, sunburn, colds or flu;\n(10) Death, injuries or illness resulting from failure to follow directions from those in charge of the program and all related activities;\n(11) The risks associated with returning to my residence after participating in the program and\/or related activities; and\n(12) Other risks associated with being a spectator of or being present at a crowded, outdoor or indoor event.<\/div><\/fieldset><fieldset id=\"field_122_44\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Medical\/Health &amp; Travel Insurance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_44'>\n\t\t\t<div class='gchoice gchoice_122_44_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='I consent'  id='choice_122_44_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_44\"   \/>\n\t\t\t\t\t<label for='choice_122_44_0' id='label_122_44_0' class='gform-field-label gform-field-label--type-inline'>I consent<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_122_44'>I freely accept and assume all responsibility to provide myself with medical\/health and travel insurance coverage.<\/div><\/fieldset><fieldset id=\"field_122_45\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Medical Conditions<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_45'>\n\t\t\t<div class='gchoice gchoice_122_45_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='I consent'  id='choice_122_45_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_45\"   \/>\n\t\t\t\t\t<label for='choice_122_45_0' id='label_122_45_0' class='gform-field-label gform-field-label--type-inline'>I consent<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_122_45'>I agree to advise the organizers of the trip prior to the start of the event of any existing medical conditions or injury.<\/div><\/fieldset><fieldset id=\"field_122_46\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Indemnification &amp; Release of Liability<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_46'>\n\t\t\t<div class='gchoice gchoice_122_46_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='I consent'  id='choice_122_46_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_46\"   \/>\n\t\t\t\t\t<label for='choice_122_46_0' id='label_122_46_0' class='gform-field-label gform-field-label--type-inline'>I consent<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_122_46'>In return for allowing me to voluntarily participate in the program and all related activities, I agree:\n(1) TO ASSUME AND ACCEPT ALL and ANY RISKS arising out of, associated with or related to my participation in the SFD program and all related activities, even though such risks may be caused by the negligence of THE UNIVERSITY OR faculty of engineering and design;\n(2) TO BE SOLELY RESPONSIBLE FOR ANY and ALL INJURY, LOSS OR DAMAGE which I might sustain while participating in THE UNIVERSITY OR faculty of engineering and design program and all related activities, even though such injury, loss or damage may have been caused by the negligence of THE UNIVERSITY OR faculty of engineering and design\n(3) TO HOLD HARMLESS AND INDEMNIFY THE UNIVERSITY OR faculty of engineering and design from any and all liability for any damage to the personal property of, or personal injury to, any third party resulting from my participation in the SFD program and all related activities;\n(4) TO HOLD HARMLESS, INDEMNIFY AND RELEASE THE UNIVERSITY OR faculty of engineering and design, their officers, directors, agents, volunteers, employees and representatives from liability for any and all claims, demands, actions and costs which might arise out of my participation in SFD program and all related activities, even though such claims, demands, actions and costs may be been caused by the negligence of THE UNIVERSITY OR faculty of engineering and design<\/div><\/fieldset><fieldset id=\"field_122_47\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Code of Conduct<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_47'>\n\t\t\t<div class='gchoice gchoice_122_47_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='I consent'  id='choice_122_47_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_47\"   \/>\n\t\t\t\t\t<label for='choice_122_47_0' id='label_122_47_0' class='gform-field-label gform-field-label--type-inline'>I consent<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_122_47'>The Faculty of Engineering, Carleton Engineering Student For A Day Program entails visiting the university campus for a day of activities, eating a meal provided by the university, attending lectures and participating in related engineering activities as determined by the organizers:\n\n(1) I agree not to bring or consume any alcohol or illegal substances for the duration of this event\n(2) I will behave responsibly and appropriately and adhere to any rules of conduct laid down by the organizers of this visit<\/div><\/fieldset><div id=\"field_122_49\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_49'>Signature (Parent\/Guardian or Participant, if 18+)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_122_49' type='text' value='' class='medium'  aria-describedby=\"gfield_description_122_49\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_122_49'>Please fill in (if under 18) your parent\/guardian&#8217;s first and last name, and phone number we can contact them if needed. 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