These 2016 forms should not be filled out by 2017 participants. These forms are here merely to give 2017 participants an idea what they will need to complete once the 2017 forms are ready.
On this page are 8 links.
The first is to the
2016 MathPath Pre-Program Briefing
which includes all the extra information you need to get ready for MathPath.
The other 7 links are to 2016 forms to be completed, signed and returned to us by May 31, 2016.
The first 5 forms are required; your child cannot attend MathPath without them.
The 6th is strongly recommended – every family submitted it last year.
The 7th is only for families who wish to allow relatives or friends to take their child off campus.
Submitting the forms. Please, please submit the forms in exactly
one of the two formats we explain in the
bottom section of this page.
The forms are:
Because we need to make both paper and electronic copies of your forms, and sort them various ways, and because there will be 105 of you submitting forms, you will cause a tremendous amount of extra busy work for us if you do not submit the forms exactly as we describe below.
We are asking each of you to take a little extra time to save us a lot of extra time.
Waiver and Agreement Form.
By your signature on this form you do two things.
First, you agree not to sue for any mishaps so long as we follow the safety protocols in the Pre_Program Briefing, and if you do sue because we didn't follow our protocols, you agree to sue only the MathPath Foundation,
not Mount Holyoke College and not any individuals associated with either organization.
Second, you agree to pay for any medical fees for your child that are not covered by the insurance you hold, and you agree to pay for any loss or damage to facilities caused by your child and charged to us by Mount Holyoke.
Behavioral Standards Agreement.
In summer 2014, for the first time, we needed to send someone home early because of
repeated inappropriate behavior.
In hopes to avoid such a need in the future, we developed this agreement, which
we hope sets out clearly our behavioral expectations.
Better to have our expectations stated up front than introduced piecemeal
at MathPath as situations arise. Since both a parent and the
MathPath student must sign this agreement, we hope it will provide a good opportunity
for you to sit down with your child and discuss proper behavior in a group setting, especially if your
child has not been on his or her own away from home for any extended period before,
or if your child is used to doing things his or her own way.
Unfortunately, even with this form in place, we had to send one student home again in 2015. At least the student and the family knew the exact cause and knew what the consequences would be.
- Personal Electronics Agreement.
By your signature on this form you confirm that you understand and agree to our electronics policy, which discourages your child from bringing high tech electronics; releases us and our host from any responsibility or cost if the equipment is lost, damaged, or stolen; strictly limits the use of such equipment at MathPath; and gives us permission to impound equipment which is misued. The one exception to this discouragement policy is cell phones. We want students to bring a cell phone – for use on travel days and to speak regularly with parents – but all other use is strictly controlled. The details of the policy are spelled out in the Agreement and on pages linked from it.
Photo and Quotation Permission Form.
By your signature on this form you grant us permission to make public use of photographs including your child and statements made by your child, so long as he or she is not identified by name. If we wish to identify your child by name, we will need to ask for your additional specific permission.
- Health Form.
This gives us basic health, medication, diet and insurance information about your child, and authorizes us to act in your stead if your child requires emergency medical treatment. Of course we will try to contact you – you provide emergency contact information on the form – but sometimes decisions must be made sooner than you can be reached. If your child has an insurance card, get it out when you go to fill out this form, as you will need to scan it or transfer information from it.
Before completing this form you must have or obtain insurance that fully covers urgent and emergency care at medical facilities in the Twin Cities, Minneapolis and Saint Paul, Minnesota. ("Urgent care" and "emergency care" are defined terms in healthcare policies, which distinguish the care from "routine care", which can wait until your child gets home.)
Coverage should be effective until August 1 and must also cover any hospitalization extending beyond August 1.
This form also has spaces to list allergies and other special conditions.
For instance, this is your opportunity to tell us about diet restrictions,
whatever their reason. College dining halls are quite used to dealing with special diets these days, once they know about them.
We will share with the dining hall a summary of the food restrictions from the health forms.
Be sure to tell us the severity of any special conditions; if something is life-threatening, we need to know.
Both you and your pediatrician must sign this form.
If your child has not had a physical within 12 months of the start of MathPath, in most American states your pediatrician will require a new physical before signing the form. Physicals must often be scheduled far in advance. Therefore, please get busy on the medical form right away.
Canadians: Your government health insurance does not cover you in the US. You may obtain temporary US insurance from Canadian banks, and no doubt other sources online.
Recreational Activities Waiver Form. Outfitters for certain activities (typically tubing, white-water-rafting, kayaking, rock-wall climbing and cycling) insist that the legal guardians of participants sign away their right to sue for injuries except in cases of egregious negligence. Sometimes the host institution requires such forms as well, for something as ordinary as swimming in their pool, but so far we have not been asked to obtain waivers in such cases.
Typically we finalize each weekend's activities just a few days in advance, not enough time to get the forms out to you for signature and return, even if we wanted to deal with the logistics of all that. Therefore, we have produced a general form where you grant us power of attorney to sign waivers for you (except you may exclude specific activities; see the form).
We strongly recommend signing the general form. Last year every parent did, with a few excluding a few activities.
We announce activities to the students a few days in advance.
You should always ask your child what activities s/he wants to do in the coming weekend, and you can inquire through your child about the details of any that appear to have risk. If you have signed the Power of Attorney but then decide that you do not wish your child to engage in a specific activity that you did not exclude on the form, simply ask him or her not to sign up. You may send us an email announcing your decision so that you can be sure your child follows it.
What you cannot do is request a special procedure where we consult with you and answer your questions for each possible trip. There is no time to do this with 105 families. If you are not willing to have waivers signed without personal consultation first, we understand completely, but since such personal consultation is not possible, do not submit the form and your child will not go on any of these trips.
Student Handover Permission Form
where you may designate people other than you, the parents/guardians, to take your child off campus, including to pick him/her up at the end of our program. For instance, if you have a relative or trusted friend who lives near the MathPath location, you could grant them such permission.
If there is no one you wish to grant such permission to, don't submit the form.
If there is someone, you must submit the form. Without this form, we don't release our students to anyone except the parents or guardians.
The fact that you have given permission does not mean that we will give permission.
First, requests to take a student off campus (by people listed on this form or by the parents/guardians themselves) must reach us 2 days in advance. Second, there is a specific protocol for the handoff to make sure it is legitimate; see the Pre-Program Briefing for details. Finally, no
one is allowed to take a student off campus if it will mean missing any classes or other key parts of our program.
Off-campus trips during our weekends (Sunday-Monday) are allowed, but we strongly discourage more than one or two, or even one for more than one day or one night, as they interfere with the community bonding aspect of our program.
Also, Mondays are generally devoted to all-participant trips, so Sunday, when activities are usually optional anyway, is generally a better day to be away. Of course, it also depends on what your child wants; he or she may not want to miss a certain activity or be away from his/her new friends.
Completed forms may be sent as hardcopy by post or packet service, or scanned and sent as email attachments.
Whichever method you use, please send all forms at the same time.
For instance, do not send part of the medical form at one time and another part (typically the part requiring a doctor's signature) later. Better to send all the forms on May 31 than to double our work by sending forms twice.
Also whichever method you use, submit the forms in the order 1-7 above. As for the health form, put the scans of your insurance card last. If you doctor uses his/her own forms instead of the top half of our page 4, put his/her forms after our page 4 and before the scan of your insurance card.
Additional requirements for hardcopy submission:
Print all forms 1-sided. For instance, the health form should require 4 pieces of paper for the form proper, followed by 2 more pieces for the two sides of the insurance card.
Do not staple – we can't run stapled paper through a scanner.
Do not fold the forms to mail them in a business size envelope.
Mail them unfolded in a 9x12 envelope (or larger) .
Our scanner cannot feed in paper that won't lie flat because it has spent several days folded up in the mail.
Additional requirements for electronic submission:
The scan must be dark, clear and sufficiently large. For instance, all telephone numbers and policy numbers must be immediately readable. Also, it must be a scan, produced by a scanner, not a series of
(cell phone) photos. If you don't have access to a scanner, send us the hardcopies.
The attachment must be a single pdf file, not separate pages of pdf or jpg files. Ten 1-page files take almost 10 times as long to open and print as one 10-page file.
Please name your pdf file <Lastname>_<Firstname>_Forms.pdf. For instance, if your student's name is Melanie Wu, then your file should be named
Note the underscores; they are not hyphens.
It should not take more than 2Mb to do all the above, even for a 15-page document. In past years we have received some 20Mb documents which weren't even dark and clear; this might happen if, for instance, the scan was set to "photo" instead of "text and line art". It takes several minutes for such bloated files to open and at least as long to print.
Where to send it.
The postal address, as usual, is
c/o Prof Maurer
Math/Stat, Swarthmore College
500 College Ave
Swarthmore PA 19081
However, if it might arrive on a Saturday,
or you are mailing during a vacation period, the Swarthmore College Post Office
will be closed and you should send it to Prof Maurer's home:
c/o Prof Maurer
206 Benjamin West Ave
Swarthmore PA 19081-1421
If you mail to his home, please do NOT use Certified Mail. This requires someone to be present to sign for the item. If no one is present, it goes back to the post office, where we must go and get it another day. So it requires at least one extra business day and a trip to the post office. With ordinary first class mail, you will get proof of delivery because we will email you that we received it. If you must have postal service confirmation, use Priority Mail to get tracking.
For electronic submission, email to both Prof Maurer and his MathPath Academic Assistant, Henry Zhang. Their addresses (click once) are
email@example.com and firstname.lastname@example.org
Page last updated February 11, 2017
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