2024 Jumpstart Program Application

Thank you for your interest in the Jumpstart program that will take place on August 19 & 20, 2024! You will be asked to rank your choices. If you would like to review the programs before applying please visit the Jumpstart website for more information about each program.

Jumpstart applications will be accepted until 5:00pm ET on Monday, July 8, 2024. Applicants will be notified of their status via e-mail on July 11. If you are accepted into the Jumpstart program, you will be able to move into your residence hall room on Monday, August 19. You will receive information regarding that move in date on July 11.

Preferred First Name

Preferred Last Name

E-mail Address (Please note all Jumpstart related information will be sent your Ithaca College email after June 1, but you can put an alternate email here until your IC email is issued.)

Your cell phone number:

Your IC Student ID Number: (put NA if this has not been issued yet and we will follow up)

Your personal pronouns matter to us. Click here to learn more about pronouns. If you would like to share your pronouns, please do so here:

Are you currently a member of any of the following groups?

International Student

First Generation College Student

Leadership Scholar Program

MLK Scholar Program

Park Scholar Program

Transfer Student

None of the above

What will your major be when you attend Ithaca in the Fall?

What is your hometown/where do you currently reside?

The next four questions are for your voluntary medical disclosure.

Please describe any special needs as defined by the Americans with Disabilities Act (ADA). Information provided here is intended to assist facilitators to appropriately prepare for your participation in the program.

Please list any dietary restrictions or food accommodations we should be aware of, including food allergies.

Please list any other allergies we should be aware of (especially to stinging insects [you must bring Epipen], peanuts/food allergy, latex, drugs, etc.):

Please provide below any other relevant medical conditions you'd like to inform us about (ex. recent injuries that may impact your participation, diabetes, seizures, epilepsy, etc.):

Emergency Contact Name:

Emergency Contact Phone Number:

Emergency Contact Email Address:

Will you be 18 years old or older on August 19, 2024?

Yes!

No - I will need my parent/guardian to sign the participation agreement.

Please Rank the Jumpstart Programs that you would like to participate in. Be sure to review the description of each of the Jumpstart programs. We will try our best to place you in your preferred program choice, if your application is accepted. If there are any programs that you do NOT want to participate in please do not select a rank for those.

A Place Where YOU Belong: The BIPOC Experience

Big Gay Scavenger Hunt

First Look

FreshFest With Hillel!

Green Tour

Ithaca Forever

Ithaca is Gorges

Lead-In

Movies & Arts in the Ithaca Community

Murals in Motion

Roots of Presence

Rowing and Roasting

State Of The Art: Comedy And Theatre In Ithaca

STEM into IC

Why are you interested in participating in Jumpstart? Please note the Jumpstart program has an application process so be sure to write a thoughtful response indicating what you hope to gain from this experience. The program is not filled on a first-to-sign-up basis. Limit your response to less than 500 words.

Is there anything else that the Jumpstart selection team needs to know when considering your application? [Not Required]

Required

By checking this box I agree that I have read and understand the Participation Agreement below, and that if I am accepted into the program, I will attend all Jumpstart activities in the schedule:

August 19: Jumpstart participants move in to their campus housing assignments between 9am to 4pm; 5:00-7:00pm welcome program and dinner hosted by Jumpstart staff.
August 20: Jumpstart programs run all day and closing event with all participants in the evening.

Jumpstart Participation Agreement

ITHACA COLLEGE LIABILITY RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE THIS IS A RELEASE OF LEGAL RIGHTS. READ AND BE SURE YOU UNDERSTAND IT BEFORE SIGNING.
1. I understand that Ithaca College does not require my participation in the JUMPSTART (hereafter called “Activity”) on August 19-20, 2024 and that my participation in the activity is totally voluntary. I understand that Ithaca College is not responsible for any theft, damage or loss to my personal property while participating in Activity. I understand that alcohol and drugs (any substance use) are strictly prohibited during Activity and that the Ithaca College Student Conduct Code must be adhered to at all times during my participation in Activity.
2. I fully understand and appreciate the damages, hazards, and risks inherent in activities associated with the Activity, in transportation to and from Activity, and in any actions I undertake during the time period which are or are not part of my direct participation in Activity, which dangers include but are not limited to bodily injury, including sprains, strains, contusions, broken bones, insect bites, and serious or even mortal injuries, including death, property damage, accident, delay, sickness, acts of terrorism, government intervention and acts of God. Other risks may include but are not limited to event schedule changes or cancellations.
3. Knowing the dangers, hazards, and risks of such activities, and being permitted to participate in Activity, on behalf of myself, my family, heirs, and personal representatives or administrators, I the undersigned, agree to assume all risks and responsibilities surrounding my participation in Activity, transportation to and from Activity, and I hereby release, waive, forever discharge, and covenant not to sue Ithaca College, its governing board, officers, agents, employees, and students acting as employees (hereafter called "Releasees"), from and against any and all liability for harm, injury, damage, delays, claims, demands, actions, causes of action, costs, and expenses of any nature that I may have or that may accrue to me, arising out of or related to any loss, damage, or injury, including but not limited to suffering and death, that may be sustained by me or any property belonging to me, whether caused by negligence or carelessness of Releasees, or otherwise, while in, on, upon, or in transit to or from the premises where Activity, or any adjunct to Activity is conducted.
4. I understand and agree that Releasees have no medical personnel at location of Activity. I understand and agree that Releasees are granted permission to authorize emergency medical or dental treatment, if necessary, and that such action by Releasees shall be subject to terms of this Agreement. I understand and agree that Releasees assume no responsibility for injury or damage which arises out of or in connection with authorized emergency medical or dental treatment.
5. It is my express intent that this Release shall bind me, members of my family, if I am alive, and my estate, family, heirs, administrators, personal representatives, or assigns, if I am deceased, and shall be deemed as a "Release, Waiver, Discharge and Covenant Not to Sue” the above-named Releasees. I further agree to save and hold harmless, indemnify, and defend Releasees from any claim by me or my family, arising out of my participation in the Activity.
6. In signing this Release, I acknowledge and represent that I have fully informed myself of this waiver's content and hold harmless agreement by reading it before I sign and understand that I sign this document as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written statement, have been made. I understand the risks of participating in Activity but want to do so despite possible dangers and risks and despite this Release.
7. In signing this release, I state that I have no health related reasons or problems which preclude or restrict my participation in Activity, that I have adequate health insurance necessary to pay any medical costs that may be attendant as a result of injury to me, that I am fully competent to sign this Agreement, and that I execute this release for full, adequate, and complete consideration fully intending to be bound by same.
8. I agree that this Release shall be construed in accordance with the laws of the State of New York. If any term or provision of this Release shall be held illegal, unenforceable, or in conflict with any law governing this Release the validity of the remaining portions shall not be affected thereby.

Wait! You're not done yet!

Please click 'continue' and then 'submit for approval' on the next page to submit your Jumpstart application.

Once submitted, you will be notified of your status via your Ithaca College e-mail address on July 11. Please contact ose@ithaca.edu if you have questions regarding the Jumpstart program.