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Group Visit Request
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Your group visit will include an hour-long walking tour and a 30 minute SUNY Poly Admissions Session!
Date Selection
Use the date selection portion to identify two separate dates based on the availability of your group.
Please ensure there is at minimum of 3-5 business days between your two selections!
Our campus visit specialist will be in touch with you to confirm the dates once the form is submitted.
Preferred Date of Visit
Secondary Date of Visit
Preferred Date Start Time:
Secondary Date Start Time:
Group Information
What type of group are you?
High School
Community College
Early College Program
Middle School
Community/School Based Organization
Other
Name of the School/Group
Provide what type of group you are
Grade Level of Group
Number in Group (Including Chaperones)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
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25
26
27
28
29
30
31
32
33
34
35
36
37
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39
40
41
42
43
44
45
46
47
48
49
50
Address of School
Address of School
Country
Street
City
Region
Postal Code
Chaperone Information
First Name
Last Name
Title
Contact Phone
Contact Email
Acknowledgement of SUNY Poly's Child Protection Policy Requirements
Organizations that bring children under the age of 17 to visit campus must review the SUNY-wide Child Protection Policy and the Policy on Mandatory Reporting and Prevention of Child Sexual Abuse. In addition, all organizations must review the following and must agree to abide by the following through the submission of this form:
All staff and volunteers are required to review the SUNY Child Protection Policy and the Policy on Mandatory Reporting and Prevention of Child Sexual Abuse.
Acknowledge that Sex Offender Registry searches have been conducted on all staff and volunteers in accordance with the Policy;
Conduct a search of all staff and volunteers who will be responsible for youth through the NY Sex Offender Registry and the National Sex Offender Public website within the (90) day period preceding the sponsored activity;
Retention of the records of the results of each search;
Adhere to the minimum staff-to-child supervision ratios
9 – 14 years: 1 staff for each 10 children;
15-16 years: 1 staff for each 12 children;
At least 80% of its staff and volunteers are 18 years of age or older;
Staff and volunteers have training specific to the program or activity; and
The overall supervisor for each program and activity is an adult with certification or documented training and/or experience in that program or activity.
NOTE:
The policy outlines a minimum staff-to-child ratio, however to ensure that children are being supervised at all times it may be necessary to provide more staff especially if there are break-out sessions that may divide the group of children as each group will require supervision during the program or activity.
Additional Information
Are you requesting an on-campus lunch for your group in our dining hall?
Are you requesting an on-campus lunch for your group in our dining hall?
Yes
No
SUNY Poly welcomes you to experience lunch at our Campus Center Dining Hall an all-you-care-to-eat buffet.
(Only available when school is in sessions, September to December & February to April)
.
The cost of lunch on campus is
$10.45 per person
, and outside food is not permitted on site.
Are you tax exempt?
Are you tax exempt?
Yes
No
Please email a copy of your tax exemption form to
admissions@sunypoly.edu
, thank you!
Additional Comments
Submit
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